MICHAEL BENJAMEN GONZALEZ (NPI# 1235773987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235773987 |
| Entity Type | Individual |
| Full Name | MICHAEL BENJAMEN GONZALEZ |
| Credential | CMT |
| Practice Address |
3970 Arizona St Apt 4 San Diego CA 92104-8815 |
| Practice Telephone | 4088873597 |
| Mailing Telephone | 4088873597 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 46475 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1154785871 | Michael Antonio Gonzalez | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Road Nw Dept of Medicine, Washington, DC 20007-2113 | 2016-04-08 |
| 1538525050 | Michael Gonzalez | Technician, Other | 19141 Box Canyon Rd, Corona, CA 92881-4239 | 2016-01-13 |
| 1902155534 | Michael Franco Gonzalez | Dentist | 7544 W North Ave Ste 4, Elmwood Park, IL 60707-2790 | 2012-08-29 |
| 1942536313 | Michael Gonzalez | Physician Assistant | 119 Retama, Suite D, Elsa, TX 78543-0066 | 2009-10-20 |
| 1720224975 | Michael Gonzalez | Pharmacist | 3 Short Street, Monticello, GA 31064-3106 | 2008-12-17 |
| 1821276692 | Michael Gonzalez | Acupuncturist | 6424 Coldwater Canyon Ave, North Hollywood, CA 91606-1113 | 2008-02-04 |
| 1477608404 | Michael Gonzalez | Dentist | 9601 Jones Rd Ste 220, Houston, TX 77065-4778 | 2007-01-23 |
| 1073519450 | Michael Bryan Gonzalez | Pediatrics | 111 Hilltop St, Rutherford College, NC 28671-0620 | 2005-06-22 |
| 1477194520 | Michael Gonzalez | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-30 |
| Street Address |
3970 ARIZONA ST APT 4 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104-8815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1013517457 | Raman Khoshabeh | Massage Therapist | 12650 Sabre Springs Pkwy Ste 201, San Diego, CA 92128-4114 | 2020-10-26 |
| 1558969410 | Antonio Kinsey | Massage Therapist | 4070 Rosenda Ct Unit 217, San Diego, CA 92122-1954 | 2020-10-13 |
| 1689271298 | Ma. Luisa Garcia De Camacho | Massage Therapist | 1450 Market St Apt 449, San Diego, CA 92101-4160 | 2020-10-06 |
| 1427655034 | Svetlana Diakova | Massage Therapist | 3030 Suncrest Dr Unit 604, San Diego, CA 92116-1542 | 2020-10-06 |
| 1093312076 | Marilucia C Tolentino | Massage Therapist | 3141 Macaulay St, San Diego, CA 92106-1911 | 2020-10-02 |
| 1972110740 | Jessica Brooke Tavison | Massage Therapist | 3811 Marquette Pl Apt 4x, San Diego, CA 92106-1073 | 2020-09-25 |
| 1346856077 | Joshua Macias | Massage Therapist | 1441 9th Ave Unit 209, San Diego, CA 92101-8939 | 2020-09-18 |
| 1700492659 | Florence Yuko Casiez | Massage Therapist | 5898 Grewia St, San Diego, CA 92114-6620 | 2020-09-16 |
| 1932715968 | Tania Alvarez | Massage Therapist | 3972 Mississippi St, San Diego, CA 92104-2737 | 2020-09-15 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.