Individual provider Active NPI

Denise Gonzalez Garcia

  • Behavior Analyst
  • Ontario, CA
National Provider Identifier
1992448765
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-57225 Issued in CA
Practice address
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Phone
(714) 834-1111
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-57225 CA Primary

Addresses

Primary practice location

4688 Ontario Mills Pkwy
Ontario, CA 91764-5104

Mailing address

4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Phone (909) 247-9340

Other practice location 1

2910 Inland Empire Blvd Ste 104
Ontario, CA 91764-4896
Phone (855) 295-3276

Other practice location 2

21 Rancho Camino Dr Ste 108
Pomona, CA 91766-7020
Phone (855) 223-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1992448765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645104",
            "telephone_number": "909-247-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4688 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645104",
            "telephone_number": "714-834-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Inland Empire Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917644896",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "fax_number": "800-819-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Rancho Camino Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917667020",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ GARCIA",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-57225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.