OCTAVIO GONZALEZ (NPI# 1831591965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831591965 |
| Entity Type | Individual |
| Full Name | OCTAVIO GONZALEZ |
| Practice Address |
3611 S Harbor Blvd Ste 100 Santa Ana CA 92704-7915 |
| Practice Telephone | 1714966865 |
| Mailing Telephone | 1714966865 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730461419 | Octavio R Gonzalez | Pharmacist | 11430 Nw 20th St Ste 300, Doral, FL 33172-1846 | 2011-09-19 |
| 1578835500 | Octavio Alberto Gonzalez | Dentist | 800 Rose Street, Room D104, Lexington, KY 40536-0297 | 2012-02-07 |
| 1932390069 | Octavio Gonzalez | Orthopaedic Surgery | 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1137 | 2007-08-05 |
| Street Address |
3611 S HARBOR BLVD STE 100 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548356215 | Veroncia Corralz | Counselor | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2006-10-04 |
| 1639566300 | Dolores Aurora Dickson | Counselor | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2015-04-21 |
| 1174911655 | Allen Vy | Counselor | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2015-01-06 |
| 1861780835 | Gillian Loy | Marriage & Family Therapist | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2011-07-12 |
| 1740593243 | Vicky Chau Tran | Counselor | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704 | 2010-07-26 |
| 1851536247 | Serena Nicholl Perry | Marriage & Family Therapist | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2008-12-13 |
| 1609027085 | Coleen Matonic Mcguire | Counselor | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2008-10-03 |
| 1881844850 | Denise Nha-chi Nguyen | Marriage & Family Therapist | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2008-09-25 |
| 1104048370 | Charlette White | Marriage & Family Therapist | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2007-05-03 |
| 1598848673 | Megan Keen | Counselor | 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1871113175 | Sandy Nunez | Counselor | 1200 N Main St Fl 2, Santa Ana, CA 92701-3640 | 2020-04-16 |
| 1336794056 | Eduardo Lopez | Counselor | 727 S Lyon St Apt B204, Santa Ana, CA 92705-7200 | 2019-08-08 |
| 1356902597 | Shannon Kilgore | Counselor | 2030 E 4th St Ste C-23220, Santa Ana, CA 92705-3940 | 2019-06-27 |
| 1699338475 | Kemper Ian Gottshall | Counselor | 1300 S Grand Ave Bldg C2, Santa Ana, CA 92705-4434 | 2019-04-17 |
| 1013475649 | Shaneska Frederique | Counselor | 1551 W Walnut St Unit 50, Santa Ana, CA 92703-6314 | 2019-03-02 |
| 1659835296 | Rebecca Christina Gastelum | Counselor | 505 N Tustin Ave Ste 233, Santa Ana, CA 92705-3775 | 2019-01-28 |
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1568942688 | Giovanni Casas | Counselor | 2717 W Carlton Pl, Santa Ana, CA 92704-4022 | 2018-08-17 |
| Find all providers in SANTA ANA | ||||
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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.