BERNARDO BAUTISTA GONZALES JR.


Address: 11643 Centralia St, Lakewood, CA 90715-1322
Phone: 6614184611

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 11643 CENTRALIA ST
City LAKEWOOD
State CA
Zip Code 90715-1322

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1437510674 Katie Perez Technician, Other 11907 205 St, Lakewood, CA 90715 2016-03-16
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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
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAKEWOOD
Zip Code 90715

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Dataset Information

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.

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