SANTIAGO GONZALEZ IV (NPI# 1386185411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386185411 |
| Entity Type | Individual |
| Full Name | SANTIAGO GONZALEZ IV |
| Credential | AMFT |
| Practice Address |
460 N Magnolia Ave Ste 110 El Cajon CA 92020-3610 |
| Practice Telephone | 6194405133 |
| Mailing Telephone | 6194405133 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AMFT110202 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 110202 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 545 Laurel St, San Diego, CA 921011634 | (619) 233-4399 | |
| 561 Saxony Pl Ste 101, Encinitas, CA 92024 | 7605034703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264810 | Santiago R Gonzalez | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave # S321, San Francisco, CA 94143-2205 | 2020-04-24 |
| Street Address |
460 N MAGNOLIA AVE STE 110 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033161740 | Jonathan Kistler | Psychiatry & Neurology | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2006-05-17 |
| 1750909610 | Halima Eid | Counselor | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2020-07-08 |
| 1013535939 | Caitlin Moroney | Student in an Organized Health Care Education/Training Program | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2020-07-07 |
| 1013533801 | Adriana Setareh Pombo | Counselor | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2020-06-18 |
| 1194349837 | Lindsey Michelle Jaffe | Counselor | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2020-05-28 |
| 1922640556 | Awatef Kamal Semaan | Counselor | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2019-10-15 |
| 1396305462 | Marie Elisa Capizzi | Counselor | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2019-06-19 |
| 1871159673 | Simone Narges Borghei | Student in an Organized Health Care Education/Training Program | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2019-05-16 |
| 1811450893 | Nina Alpert | Student in an Organized Health Care Education/Training Program | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2019-04-08 |
| 1811455520 | Karla Ann Gilham | Counselor | 460 N Magnolia Ave Ste 110, El Cajon, CA 92020-3610 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658764 | Roxanne Ninteman | Counselor | 638 Silverbrook Dr, El Cajon, CA 92019-1552 | 2019-09-13 |
| 1629635958 | Janese S Schaffner-hubbard | Counselor | 1121 Nidrah St, El Cajon, CA 92020-7242 | 2019-05-22 |
| 1255811345 | Bassila Rafou | Counselor | 436 S Magnolia Ave # 101&201, El Cajon, CA 92020-5237 | 2018-08-17 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1740702794 | Erik Rinear | Counselor | 1375 E Washington Ave, El Cajon, CA 92019-3135 | 2017-07-12 |
| 1811440233 | Michael David Ceccon | Counselor | 1242a Lyons Ln, El Cajon, CA 92021-4703 | 2016-08-02 |
| 1003211343 | Olivia Kozarev | Counselor | 1252 Broadway Ste I, El Cajon, CA 92021-4904 | 2014-10-29 |
| 1548525488 | Teresa Suzanne Lowe | Counselor | 988 Grouse St, El Cajon, CA 92020-1438 | 2012-07-06 |
| 1558664045 | Kara Winship | Counselor | 1600 N Cuyamaca St, El Cajon, CA 92020-1109 | 2010-12-06 |
| Find all providers in EL CAJON | ||||
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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.