CARLOS BENEDICT GONZALEZ (NPI# 1316440605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316440605 |
| Entity Type | Individual |
| Full Name | CARLOS BENEDICT GONZALEZ |
| Practice Address |
701 E Foothill Blvd Azusa CA 91702-2606 |
| Practice Telephone | 3232467818 |
| Mailing Telephone | 3232467818 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073172391 | Carlos Hector Gonzalez | Behavioral Analyst | 2100 Torena Way, Oxnard, CA 93030-6097 | 2019-06-11 |
| 1427519768 | Carlos Jose Gonzalez | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Jamaica, New York, NY 11432 | 2019-03-28 |
| 1740769850 | Carlos A Gonzalez | Nurse Practitioner | 6841 Dunoon Ct, Miami Lakes, FL 33014-6001 | 2018-08-09 |
| 1720588312 | Carlos G Gonzalez | Licensed Vocational Nurse | Po Box 261, Miles, TX 76861-0261 | 2018-02-20 |
| 1023468030 | Carlos Gonzalez | Home Health Aide | 1700 Sw 92nd Ave, Miami, FL 33165-7702 | 2016-06-21 |
| 1093180028 | Carlos Manuel Gonzalez | Dentist | 750 Nw 20th St # G110, Miami, FL 33127-4618 | 2015-12-02 |
| 1023480977 | Carlos Gonzalez | Specialist/Technologist, Other | 600 W Blue Jay Ave, Pharr, TX 78577-8816 | 2015-10-29 |
| 1124426242 | Carlos Jacobo Gonzalez Sr. | Community Health Worker | 2367 Calle Loma, Urb. Valle Alto, Ponce, PR 00730-4146 | 2014-12-06 |
| 1073919460 | Carlos Gonzalez | Massage Therapist | 1519 Burlington Rd, Cleveland Heights, OH 44118-1216 | 2014-11-12 |
| 1003229451 | Carlos Gonzalez | Specialist | 323 Whitewood Rd, Union, NJ 07083-8214 | 2014-06-03 |
| Street Address |
701 E FOOTHILL BLVD |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475550 | Michael Stephen Laymon | Physical Therapist | 701 E Foothill Blvd, Mary Hill 104, Azusa, CA 91702-2606 | 2005-11-28 |
| 1881249647 | Garrett Rand Brooks | Specialist/Technologist | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2019-08-07 |
| 1285289611 | Bryce Jay Allen Gordon | Specialist/Technologist | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2019-08-02 |
| 1407400799 | Benjamin Fuller | Specialist/Technologist | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2019-07-25 |
| 1679067052 | Jorden Rae Hart | Specialist/Technologist | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2018-06-19 |
| 1346745023 | Christy Hancock | Specialist/Technologist | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2018-03-26 |
| 1720581010 | Daja Kinney | Specialist/Technologist | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2018-03-13 |
| 1639606338 | Shirley Gettings | Registered Nurse | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2017-05-12 |
| 1346664356 | Catherine Wilde Mcphee | Rehabilitation Hospital | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2014-02-11 |
| 1336434950 | Irina Thomas | Nurse Practitioner | 701 E Foothill Blvd, Azusa, CA 91702-2606 | 2011-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124406285 | Casie R Duplissey | Student in an Organized Health Care Education/Training Program | 1323 N Azusa Ave, Unit 1, Azusa, CA 91702-2019 | 2015-05-09 |
| 1740681204 | Adrianne Camacho | Student in an Organized Health Care Education/Training Program | 441 N Soldano Ave, Azusa, CA 91702-3642 | 2014-09-15 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| 1972168607 | Ashley Nicole Day | Student in an Organized Health Care Education/Training Program | 901 E Alosta Ave, Azusa, CA 91702-2701 | 2019-05-08 |
| 1558864843 | Kevin Anderson | Student in an Organized Health Care Education/Training Program | 901 E Alosta Ave, Azusa, CA 91702-2701 | 2018-03-13 |
| 1487077343 | Nahid Naghavi | Student in an Organized Health Care Education/Training Program | 901 E Alosta Ave, Azusa, CA 91702-2701 | 2014-01-29 |
| 1487820692 | Alice Fok | Student in an Organized Health Care Education/Training Program | 701 E Foothill Blvd, Unit 1384, Azusa, CA 91702-2606 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARLOS BENEDICT GONZALEZ.
| 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.