MR. OTONIEL GONZALEZ (NPI# 1841426822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841426822 |
| Entity Type | Individual |
| Full Name | MR. OTONIEL GONZALEZ |
| Credential | N.P. |
| Practice Address |
25621 Ashby Way Lake Forest CA 92630-6003 |
| Practice Telephone | 9493803009 |
| Practice Fax Number | 9493803009 |
| Mailing Telephone | 9493803009 |
| Mailing Fax Number | 9493803009 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP 16527 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25621 ASHBY WAY |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875539 | Lisa L Bednar | Nurse Practitioner | 1000 N Westmoreland Rd Fl 2, Lake Forest, IL 60045-1658 | 2020-06-15 |
| 1407254337 | Lady Ariane Garcia | Nurse Practitioner | 700 N. Westmoreland Rd Suite F, Lake Forest, IL 60045 | 2014-12-09 |
| 1891110359 | Brittany Roth | Nurse Practitioner | 800 N Westmoreland Rd Ste 205, Lake Forest, IL 60045-1687 | 2014-02-20 |
| 1578789673 | Elia L. Perez-s | Nurse Practitioner | 24651 Via Tonada, Lake Forest, CA 92630-2029 | 2007-04-17 |
| 1093724874 | Denise A. Lorenz | Nurse Practitioner | 23101 Lake Center Dr, Lake Forest, CA 92630-2801 | 2006-08-07 |
| 1831114750 | Diane L Duddles | Nurse Practitioner | 660 N. Westmoreland Road, Lake Forest Emergency Dept, Lake Forest, IL 60045-1659 | 2006-07-13 |
| 1144867441 | Brandon Stuart Blackwood | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-12-05 |
| 1467938464 | Stephanie Jane Clapham | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2018-07-13 |
| 1588108203 | Sarah Latoria | Nurse Practitioner | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-12-14 |
| 1447625009 | Allison Becca Stein | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2015-12-08 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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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.