CALLIE R GONZALEZ (NPI# 1487294591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487294591 |
| Entity Type | Individual |
| Full Name | CALLIE R GONZALEZ |
| Credential | NP |
| Practice Address |
25495 Medical Center Dr Ste 204 Murrieta CA 92562-4903 |
| Practice Telephone | 9516981901 |
| Practice Fax Number | 9516981074 |
| Mailing Telephone | 9516981901 |
| Mailing Fax Number | 9516981074 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP95013535 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25495 MEDICAL CENTER DR STE 204 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750359907 | Sreenivas N Vemulapalli | Urology | 25495 Medical Center Dr Ste 204, Murrieta, CA 92562 | 2006-03-12 |
| 1972747988 | Benjamin Thayne Larson | Urology | 25495 Medical Center Dr Ste 204, Murrieta, CA 92562 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013942572 | Peter Robert Schultz | Nurse Practitioner | 26620 Saint Michel Ln, Murrieta, CA 92563-6085 | 2006-07-12 |
| 1851930168 | Lisa J Blais | Nurse Practitioner | 41880 Kalmia St Ste 100, Murrieta, CA 92562-8835 | 2020-01-03 |
| 1902361785 | Jordanne Fruits | Nurse Practitioner | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2019-02-05 |
| 1639673858 | Regina Janettte Garcia | Nurse Practitioner | 41880 Kalmia St Ste 100, Murrieta, CA 92562-8835 | 2018-03-21 |
| 1811403009 | Cimarron Smith | Nurse Practitioner | 27722 Clinton Keith Rd, Murrieta, CA 92562-8560 | 2017-12-26 |
| 1023527975 | Philip Alian | Nurse Practitioner | 28078 Baxter Rd Ste 530, Murrieta, CA 92563-1405 | 2017-09-22 |
| 1518414200 | Sarah Fairhurst | Nurse Practitioner | 24680 Jefferson Ave, #a, Murrieta, CA 92562-9023 | 2016-09-09 |
| 1598129132 | Darshel Ontkean | Nurse Practitioner | 25405 Hancock Ave Ste 216, Murrieta, CA 92562-5978 | 2016-04-10 |
| 1821333162 | Beverly Ann Collins | Nurse Practitioner | 23811 Washington Ave, C110-265, Murrieta, CA 92562 | 2012-11-27 |
| 1770852568 | Michelle Carolynn Maxfield | Nurse Practitioner | 24910 Las Brisas Rd, Ste 121, Murrieta, CA 92562 | 2011-12-22 |
| Find all providers in MURRIETA | ||||
Please comment or provide details below to improve the information on CALLIE R 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.