ERNESTO GONZALES (NPI# 1548806789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548806789 |
| Entity Type | Individual |
| Full Name | ERNESTO GONZALES |
| Practice Address |
3427 4th Ave San Diego CA 92103-4910 |
| Practice Telephone | 6195259903 |
| Mailing Telephone | 6195259903 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440740 | Ernesto William Gonzales | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-09-02 |
| 1710463161 | Ernesto Rocky Gonzales Jr. | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2018-07-18 |
| Street Address |
3427 4TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417052549 | Andrew D Richmond | Counselor | 3427 4th Ave, San Diego, CA 92103-4910 | 2006-09-13 |
| 1871107268 | Paige Coe | Case Manager/Care Coordinator | 3427 4th Ave, San Diego, CA 92103-4910 | 2020-09-02 |
| 1770197485 | Dani Alexandra Saffi | Case Manager/Care Coordinator | 3427 4th Ave, San Diego, CA 92103-4910 | 2020-09-01 |
| 1538771779 | June Louis Cabales | Counselor | 3427 4th Ave, San Diego, CA 92103-4910 | 2020-08-19 |
| 1639728462 | Hanna Lemme | Student in an Organized Health Care Education/Training Program | 3427 4th Ave, San Diego, CA 92103-4910 | 2019-09-04 |
| 1669958203 | Kaylin Danielle Saffe | Counselor | 3427 4th Ave, San Diego, CA 92103-4910 | 2018-07-17 |
| 1548746498 | Ezak Marquez | Counselor | 3427 4th Ave, San Diego, CA 92103-4910 | 2018-07-13 |
| 1992218572 | Veronica Philipsborn | Social Worker | 3427 4th Ave, San Diego, CA 92103-4910 | 2017-11-06 |
| 1205351871 | Madeleine Anderson | Counselor | 3427 4th Ave, San Diego, CA 92103-4910 | 2017-08-04 |
| 1720509409 | San Diego Youth Services | Community/Behavioral Health | 3427 4th Ave, San Diego, CA 92103-4910 | 2017-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1487298840 | Garrett Ives | Peer Specialist | 2909 Keats St Apt 7, San Diego, CA 92106-2345 | 2019-10-29 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1811434467 | Deborah Sue Lynn | Peer Specialist | 140 W. Arbor Dr., Ucsd Gifford Outpatient Clinic, San Diego, CA 92103-2421 | 2017-01-20 |
| 1023463163 | Miguel Pablo Surposa | Peer Specialist | 5711 Bolivar St, San Diego, CA 92139-1617 | 2016-04-26 |
| 1376140590 | Leon Samuel Mancilla | Peer Specialist | 5555 Reservoir Dr, San Diego, CA 92120-5134 | 2020-10-01 |
| 1982210092 | Nicole Lynn Iwan | Peer Specialist | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-09-23 |
| 1962014001 | Paulina Alvarado | Peer Specialist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-08-19 |
| 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.