CARLOS FEDERICO GONZALEZ JR. (NPI# 1659862670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659862670 |
| Entity Type | Individual |
| Full Name | CARLOS FEDERICO GONZALEZ JR. |
| Practice Address |
3539 College Ave San Diego CA 92115-7032 |
| Practice Telephone | 6198183788 |
| Mailing Telephone | 6198183788 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
APCC8667 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7297 Ronson Rd Ste H, San Diego, CA 921111428 | 8582786603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073172391 | Carlos Hector Gonzalez | Behavioral Analyst | 2100 Torena Way, Oxnard, CA 93030-6097 | 2019-06-11 |
| 1427519768 | Carlos Jose Gonzalez | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Jamaica, New York, NY 11432 | 2019-03-28 |
| 1740769850 | Carlos A Gonzalez | Nurse Practitioner | 6841 Dunoon Ct, Miami Lakes, FL 33014-6001 | 2018-08-09 |
| 1720588312 | Carlos G Gonzalez | Licensed Vocational Nurse | Po Box 261, Miles, TX 76861-0261 | 2018-02-20 |
| 1023468030 | Carlos Gonzalez | Home Health Aide | 1700 Sw 92nd Ave, Miami, FL 33165-7702 | 2016-06-21 |
| 1093180028 | Carlos Manuel Gonzalez | Dentist | 750 Nw 20th St # G110, Miami, FL 33127-4618 | 2015-12-02 |
| 1023480977 | Carlos Gonzalez | Specialist/Technologist, Other | 600 W Blue Jay Ave, Pharr, TX 78577-8816 | 2015-10-29 |
| 1124426242 | Carlos Jacobo Gonzalez Sr. | Community Health Worker | 2367 Calle Loma, Urb. Valle Alto, Ponce, PR 00730-4146 | 2014-12-06 |
| 1073919460 | Carlos Gonzalez | Massage Therapist | 1519 Burlington Rd, Cleveland Heights, OH 44118-1216 | 2014-11-12 |
| 1003229451 | Carlos Gonzalez | Specialist | 323 Whitewood Rd, Union, NJ 07083-8214 | 2014-06-03 |
| Street Address |
3539 COLLEGE AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568680288 | Yean Voeun | Case Manager/Care Coordinator | 3539 College Ave, San Diego, CA 92115-7032 | 2007-04-20 |
| 1205440062 | Jessica Fletcher | Student in an Organized Health Care Education/Training Program | 3539 College Ave, San Diego, CA 92115-7032 | 2020-08-31 |
| 1588277131 | Vanessa Gross | Student in an Organized Health Care Education/Training Program | 3539 College Ave, San Diego, CA 92115-7032 | 2020-08-24 |
| 1790309524 | David Eugene Morris | Counselor | 3539 College Ave, San Diego, CA 92115-7032 | 2020-06-08 |
| 1841824976 | Daniel Hawn | Counselor | 3539 College Ave, San Diego, CA 92115-7032 | 2020-02-27 |
| 1942840533 | Aljon Ona Loberia | Counselor | 3539 College Ave, San Diego, CA 92115-7032 | 2020-01-10 |
| 1447897061 | Kasandra Figueroa | Community Health Worker | 3539 College Ave, San Diego, CA 92115-7032 | 2019-12-02 |
| 1003466111 | Meesoo Lee | Counselor | 3539 College Ave, San Diego, CA 92115-7032 | 2019-09-19 |
| 1801355425 | Theodore Escalanti | Counselor | 3539 College Ave, San Diego, CA 92115-7032 | 2019-03-13 |
| 1386103018 | Jim Polido Joaquin | Counselor | 3539 College Ave, San Diego, CA 92115-7032 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on CARLOS FEDERICO GONZALEZ JR..
| 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.