ZENITH AUSTEN GONZALEZ


Address: 3105 Cedar Ravine Rd Ste 103, Placerville, CA 95667-6561
Phone: 5302951900

ZENITH AUSTEN GONZALEZ (NPI# 1962452888) 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) 1962452888
Entity Type Individual
Full Name ZENITH AUSTEN GONZALEZ
Other Name ZENITH AUSTEN LOBELL
Credential N.P.
Practice Address 3105 Cedar Ravine Rd Ste 103
Placerville
CA 95667-6561
Practice Telephone 5302951900
Practice Fax Number 5302959400
Mailing Telephone 5302951900
Mailing Fax Number 5302959400
Enumeration Date 2006-05-11
Last Update Date 2016-05-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 12202 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
12202 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA YYY49032Y 05

Office Location

Street Address 3105 CEDAR RAVINE RD STE 103
City PLACERVILLE
State CA
Zip Code 95667-6561

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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1477922102 Vanessa Domush Nurse Practitioner 845 E. Willow St, Signal Hill, CA 90755 2015-09-23
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Competitor

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City PLACERVILLE
Zip Code 95667

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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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