AUDREY ARACELY GONZALEZ (NPI# 1598867657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598867657 |
Entity Type | Individual |
Full Name | AUDREY ARACELY GONZALEZ |
Credential | NP |
Practice Address |
947 S Anaheim Blvd Suite 240 Anaheim CA 92805-5582 |
Mailing Address |
1736 N Oakwood Ave Anaheim CA 92807-1037 |
Practice Telephone | 7146354424 |
Practice Fax Number | 7146355704 |
Mailing Telephone | 7147798305 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2020-10-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
16161 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI-CAL | GR0058410 | 01 |
CA | MEDI-CAL | 00A337400 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1140 W La Veta Ave Ste 770, Orange, CA 928684229 | 7148358715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437610086 | Audrey Gonzalez | Counselor | 1941 Frank Scott Pkwy E Ste C, O Fallon, IL 62269-7387 | 2019-03-27 |
1780035246 | Audrey Marie Gonzalez | Hearing Instrument Specialist | 3201 Airline Rd, Suite A, Corpus Christi, TX 78414-3570 | 2016-06-27 |
1659678696 | Audrey Parker Gonzalez | Counselor | 5305 N Scout Island Cir, Austin, TX 78731-6529 | 2011-02-25 |
1801398219 | Audrey Gonzalez | Physician Assistant | 3230 Interstate 30 Ste 100, Mesquite, TX 75150-2662 | 2018-03-01 |
Street Address |
947 S ANAHEIM BLVD SUITE 240 |
City | ANAHEIM |
State | CA |
Zip Code | 92805-5582 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538110358 | Lorena Asher | Nurse Practitioner | 947 S Anaheim Blvd, #270, Anaheim, CA 92805-5582 | 2006-05-15 |
1669855227 | Lourdes Billones Malilay | Pharmacist | 947 S Anaheim Blvd, Ste 108, Anaheim, CA 92805 | 2015-07-01 |
1528319449 | George Ahad, Md, Inc | Obstetrics & Gynecology | 947 S Anaheim Blvd, Suite 240, Anaheim, CA 92805-5584 | 2012-10-02 |
1669723938 | Deul Rae Park | Acupuncturist | 947 S Anaheim Blvd, Suite 109, Anaheim, CA 92805-5582 | 2012-09-27 |
1194002808 | Woo Jin Yang | Acupuncturist | 947 S Anaheim Blvd, Ste 109, Anaheim, CA 92805-5582 | 2011-11-08 |
1932421559 | George Ahad | Obstetrics & Gynecology | 947 S Anaheim Blvd, Suite 240, Anaheim, CA 92805-5584 | 2010-02-23 |
1114192390 | Walsh Medical Group,a Professional Corporation | Pediatrics | 947 S Anaheim Blvd, Suite 220, Anaheim, CA 92805-5582 | 2008-04-28 |
1871778373 | Sean Lin | Dentist | 947 S Anaheim Blvd, Ste 260, Anaheim, CA 92805-5582 | 2008-01-02 |
1679753347 | Nandi Wijesinghe, M.d., Inc | Obstetrics & Gynecology | 947 S Anaheim Blvd, Suite 240, Anaheim, CA 92805-5582 | 2007-11-09 |
1801097340 | Cesar Haymes | Podiatrist | 947 S Anaheim Blvd, Suite 109, Anaheim, CA 92805-5582 | 2007-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
Find all providers in zip 92805 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
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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.