MRS. ETNA L GONZALEZ (NPI# 1629302948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629302948 |
| Entity Type | Individual |
| Full Name | MRS. ETNA L GONZALEZ |
| Credential | R.N. |
| Practice Address |
1300 W 155th St Suite 103 Gardena CA 90247-4048 |
| Practice Telephone | 3105128100 |
| Mailing Telephone | 3105128100 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
613838 | CA | Nursing Service Providers |
| Street Address |
1300 W 155TH ST SUITE 103 |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689610768 | Cheryl J Hanks | Physical Therapist | 1300 W 155th St, Suite 203, Gardena, CA 90247 | 2006-06-20 |
| 1588110803 | Sirach Acupuncture Inc | Acupuncturist | 1300 W 155th St, Suite 102, Gardena, CA 90247-4048 | 2016-08-28 |
| 1629350178 | Stance Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1300 W 155th St, Suite 106, Gardena, CA 90247-4048 | 2011-09-11 |
| 1508164328 | La County Department of Mental Health | Rehabilitation Practitioner | 1300 W 155th St, Ste. #103, Gardena, CA 90247-4048 | 2011-03-02 |
| 1306140637 | Rivy Olasumbo Oseni | Nurse Practitioner | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-12-30 |
| 1932409281 | Janice Gregory | Registered Nurse | 1300 W 155th St, 103, Gardena, CA 90247-4048 | 2010-11-02 |
| 1932421484 | Cre-sha A Beverly | Counselor | 1300 W 155th St, Gardena, CA 90247-4048 | 2010-02-25 |
| 1295057792 | Gary David Barnett | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-02-24 |
| 1629211396 | Deanna Marie King | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-04-10 |
| 1003075656 | Bryce K. Yamauchi | Podiatrist | 1300 W 155th St, Suite 210, Gardena, CA 90247-4048 | 2008-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922422856 | Fidelis Nwaki | Registered Nurse | 15603 S Stulman Ave, Gardena, CA 90248-2340 | 2014-02-12 |
| 1043793326 | Jeremiah Do | Registered Nurse | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2018-09-12 |
| 1881006674 | Randy Blake | Registered Nurse | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2014-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. ETNA L GONZALEZ.
| 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.