LUIS ANGEL GONZALEZ (NPI# 1508159955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508159955 |
| Entity Type | Individual |
| Full Name | LUIS ANGEL GONZALEZ |
| Credential | ASW |
| Practice Address |
1202 Apollo Way Santa Rosa CA 95407 |
| Practice Telephone | 7075653204 |
| Practice Fax Number | 7074259880 |
| Mailing Telephone | 7075653204 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663780 | Luis Gonzalez | Licensed Vocational Nurse | 819 Sprucewood Ln, San Antonio, TX 78216-6039 | 2020-09-14 |
| 1538717137 | Luis Enrique Gonzalez | Social Worker | 10435 Sw 7th St, Miami, FL 33174-1662 | 2019-08-28 |
| 1740761055 | Luis Gonzalez | Pharmacist | Walmart Puerto Rico Inc, State Road #3 Km 15.2 Barrio Canovanillas, Carolina, PR 00987 | 2018-08-24 |
| 1194262485 | Luis Gonzalez | Nurse Practitioner | 16800 Nw 2nd Ave # 250, North Miami Beach, North Miami Beach, FL 33169-5549 | 2017-01-24 |
| 1639598915 | Luis Gonzalez | Counselor | 142 Osborne Rd, Albany, NY 12205-1934 | 2014-04-15 |
| 1457606394 | Luis E. Gonzalez | Pharmacist | Sr190 & Campo Rico, Carolina, PR 00979 | 2012-07-17 |
| 1942555107 | Luis M Gonzalez Sr. | Internal Medicine | 1200 S Federal Hway, Lux Medical Health Center, Hollywood, FL 33020 | 2012-07-13 |
| 1316221021 | Luis M Gonzalez | Counselor | 280 May St, Worcester, MA 01602-2548 | 2011-09-30 |
| 1851687800 | Luis Gonzalez | Clinic/Center | 145 Madeira Ave Ste 202, Coral Gables, FL 33134-4520 | 2011-06-28 |
| 1811298417 | Luis Gonzalez | Rehabilitation Practitioner | 679 S New Hampshire Ave Fl 5, Los Angeles, CA 90005-1355 | 2010-11-12 |
| Street Address |
1202 APOLLO WAY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811336209 | Anne Nadler | Registered Nurse | 1202 Apollo Way, Santa Rosa, CA 95407-6777 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| 1366632788 | Mv Transportation | Non-emergency Medical Transport (VAN) | 3250 Dutton Avenue, Santa Rosa, CA 95407 | 2007-08-01 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506381 | Shauna Rose Hamilton | Counselor | 831 Howard St, Santa Rosa, CA 95404-3714 | 2020-04-13 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1275066193 | Alyssia Cruz | Counselor | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2017-04-07 |
| 1780036780 | Brittany Leigh Ratiani | Counselor | 1421 Guerneville Rd Ste 128, Santa Rosa, CA 95403 | 2016-07-01 |
| 1912378381 | Deborah Dooley | Counselor | 650 Larkfield Ctr # A-3, Santa Rosa, CA 95403-1400 | 2015-10-12 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1265808976 | Wilton Hall IIi | Counselor | 3114 Terra Linda Dr, Santa Rosa, CA 95404-2121 | 2015-08-17 |
| 1154752244 | Tara Farrell | Counselor | 123 General Delivery, Santa Rosa, CA 95402-9999 | 2013-11-27 |
| 1225463128 | Laura May | Counselor | 757 Beaver St, Santa Rosa, CA 95404-3755 | 2013-09-10 |
| 1427482348 | Eden Rose Lebold | Counselor | 1230 Impala Ct, Santa Rosa, CA 95405-7323 | 2013-08-27 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.