BERNARDO BAUTISTA GONZALES JR. (NPI# 1598319139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598319139 |
Entity Type | Individual |
Full Name | BERNARDO BAUTISTA GONZALES JR. |
Practice Address |
11643 Centralia St Lakewood CA 90715-1322 |
Practice Telephone | 6614184611 |
Mailing Telephone | 6614184611 |
Enumeration Date | 2019-08-01 |
Last Update Date | 2019-08-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
11643 CENTRALIA ST |
City | LAKEWOOD |
State | CA |
Zip Code | 90715-1322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437510674 | Katie Perez | Technician, Other | 11907 205 St, Lakewood, CA 90715 | 2016-03-16 |
1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
1356458020 | Ellen L Chen | Dentist | 20147 S Pioneer Blvd, Lakewood, CA 90715 | 2006-08-25 |
1407012958 | Suraiya Motala | Student in an Organized Health Care Education/Training Program | 20215 Village Green Dr, Lakewood, CA 90715-1010 | 2008-08-04 |
1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
1285766253 | Woosung Ahn, M.d., Inc | Internal Medicine | 20145 Pioneer Blvd, Lakewood, CA 90715-1051 | 2007-03-12 |
1396807806 | Woo Sung Ahn | Internal Medicine | 20145 S Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-14 |
1881754489 | Candice Yee Chen | Dentist | 20147 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-12 |
1972515195 | Younghae Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 20141 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-08-13 |
1114942711 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 20137 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-07-13 |
Find all providers in zip 90715 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016972 | Stephanie Lynn Jordan | Technician | 7410 W Warren Cir Apt 1205, Lakewood, CO 80227-2695 | 2020-09-07 |
1558992297 | Brooke Hjeltnes | Technician | 500 Garrison St, Lakewood, CO 80226-1129 | 2020-01-31 |
1932748043 | Jordan Horn | Technician | 10311 Whitman Ave Sw, Lakewood, WA 98499-1763 | 2020-01-06 |
1164065355 | Mina Lee Brush | Technician | 7917 53rd Ave W, Lakewood, WA 98499-3166 | 2019-10-21 |
1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
1134775299 | Joan G Uva | Technician | 38 Greenways Lane, Lakewood, NJ 08701-7501 | 2019-08-14 |
1932755139 | Rachell D Loveres | Technician | 2203 Del Hollow St, Lakewood, CA 90712-2845 | 2019-08-13 |
1417503079 | Pamela Mae Todd | Technician | 5422 Bellflower Blvd, Lakewood, CA 90713-1416 | 2019-08-09 |
1144854894 | Edward John Loveres | Technician | 2203 Del Hollow St, Lakewood, CA 90712-2845 | 2020-03-02 |
1578749529 | Jolie Lorraine Curneen | Technician | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2008-01-20 |
Find all providers in LAKEWOOD |
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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.