Olivia Irene Gonzalez
Individual provider Active NPI Day Training/Habilitation Specialist · Wasco, CA
NPI 1992365076 · NPPES record last updated Mar 19, 2025
Key facts
- NPI
- 1992365076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 820 6TH Street
Wasco, CA 93280 - Phone
- (661) 758-4029
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Current |
Accepting new patients | |
| County of Kern | Case Manager/Care Coordinator | Past |
Accepting new patients |
Locations
820 6th St
Wasco, CA 93280
Phone (661) 758-4029
29341 Kimberlina Rd
Ste 102
Wasco, CA 93280
Phone (661) 758-4029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
820 6TH Street
Wasco, CA 93280
Mailing address
820 6TH Street
Wasco, CA 93280
Phone (661) 758-4029
Other providers in Wasco, CA
- Dennis L Gibbs
- Priscilla Alexandra Gomez
- Jeannette Lopez Gonzales
- Andres Gonzalez
- Margaret E Gonzalez
- Priscilla Marie Gonzalez
- Vanessa Linda Gonzalez
- Good Samaritan Hospital Ca LTD PTP
- Kimberly Lynne Graim
- Holly Lisa Gray
All providers in Wasco, CA · Day Training/Habilitation Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.