MR. JORGE MARIO GONZALEZ JR. (NPI# 1285251504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285251504 |
| Entity Type | Individual |
| Full Name | MR. JORGE MARIO GONZALEZ JR. |
| Practice Address |
2919 Mission St San Francisco CA 94110-3917 |
| Practice Telephone | 4152295000 |
| Practice Fax Number | 4156473662 |
| Mailing Telephone | 4152290500 |
| Mailing Fax Number | 4156470740 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care | |
| N | 172V00000X | Community Health Worker | CA | Other Service Providers | |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CCR | CVILLACREZ | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668052 | Jorge L Gonzalez Sr. | Ambulance | 19 Calle Figueras Interseccion Calle Ermerinda Rivera, Jayuya, PR 00664 | 2017-09-13 |
| 1154756971 | Jorge Eduardo Gonzalez | Pharmacist | 7422 Gall Blvd, Zephyrhills, FL 33541-4310 | 2013-09-11 |
| 1366728057 | Jorge A Gonzalez | Nurse Practitioner | 300 Northwest Dr, Miami, FL 33126-4252 | 2011-10-26 |
| 1457651242 | Jorge Gonzalez | Licensed Practical Nurse | 6889 Nw 179th St Apt 305, Hialeah, FL 33015-7465 | 2010-10-26 |
| 1043533201 | Jorge Gonzalez | Massage Therapist | 346 Ashley Loop, Davenport, FL 33837-8820 | 2010-03-02 |
| 1497077515 | Jorge Valenciano Gonzalez | Social Worker | 1403 Lookout, Edinburg, TX 78541-2308 | 2010-02-16 |
| 1265687610 | Jorge Nelson Gonzalez | Speech-Language Pathologist | 560 W 43rd St Apt 18h, New York, NY 10036-4313 | 2008-11-26 |
| 1770737603 | Jorge L Gonzalez | Community Health Worker | 8425 Nw 8th St, 403, Miami, FL 33126-3769 | 2008-11-05 |
| 1528215472 | Jorge R. Gonzalez | Psychologist | 23370 Rd 22, Chowchilla, CA 93610-1501 | 2008-08-22 |
| 1366567539 | Jorge R Gonzalez | Dentist | 1301 E Us Highway 83, Mcallen, TX 78501 | 2007-03-20 |
| Street Address |
2919 MISSION ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407924087 | Ryan Wayne Cuevas | Marriage & Family Therapist | 2919 Mission St, San Francisco, CA 94110-3917 | 2006-12-01 |
| 1518571918 | Gustavo Poktzin | Student in an Organized Health Care Education/Training Program | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-09-02 |
| 1952928178 | Susana Metztli Duran | Student in an Organized Health Care Education/Training Program | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-07-03 |
| 1295352193 | Alexandra Talavera | Student in an Organized Health Care Education/Training Program | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-06-26 |
| 1831715788 | Ingrid M Granados | Student in an Organized Health Care Education/Training Program | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-06-16 |
| 1407471717 | Jose Enrique Lopez | Specialist | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-06-11 |
| 1619592268 | Anna Franchi | Student in an Organized Health Care Education/Training Program | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-06-10 |
| 1760007389 | Valeria Monroy | Student in an Organized Health Care Education/Training Program | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-06-09 |
| 1114552718 | Alisa Marie Jacobo | Counselor | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-03-04 |
| 1295375319 | Clery Villacrez | Community Health Worker | 2919 Mission St, San Francisco, CA 94110-3917 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533353 | Christine Huynh | Student in an Organized Health Care Education/Training Program | 1499 5th Ave, San Francisco, CA 94122-3806 | 2020-09-22 |
| 1750995544 | Catherine Brisebois | Student in an Organized Health Care Education/Training Program | 2850 25th St, San Francisco, CA 94110-4262 | 2020-08-31 |
| 1598377517 | Yvonne Perez-sallaberry | Student in an Organized Health Care Education/Training Program | 819 27th Ave, San Francisco, CA 94121-3619 | 2020-08-20 |
| 1770195679 | Adam Brown | Student in an Organized Health Care Education/Training Program | 191 Frederick St Apt 2, San Francisco, CA 94117-4036 | 2020-08-20 |
| 1588276695 | Meredith Victoria Welch | Student in an Organized Health Care Education/Training Program | 376 3rd Ave Apt 3, San Francisco, CA 94118-1544 | 2020-08-19 |
| 1861003410 | Marie Elaine Cartier | Student in an Organized Health Care Education/Training Program | 1845 Hayes St, San Francisco, CA 94117-1219 | 2020-08-16 |
| 1245849199 | Jacqueline El-sokkary | Student in an Organized Health Care Education/Training Program | 1412 Funston Ave, San Francisco, CA 94122-3512 | 2020-07-27 |
| 1962011023 | Shaneeka Smith | Student in an Organized Health Care Education/Training Program | 875 Post St Apt 407a, San Francisco, CA 94109-6012 | 2020-07-24 |
| 1861010928 | Pardis Farhadian Lipkin | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave Fl 1, San Francisco, CA 94143-2210 | 2020-07-06 |
| 1306462171 | Curtis Michael Woodford | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave # Msbs321, San Francisco, CA 94143-2205 | 2020-06-17 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.