Ryan Gonzales, is a
Community Health Worker based in San Leandro, California. Ryan Gonzales is licensed to practice in * (Not Available) (license number ) and his current practice location is
2275 Arlington Dr, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Ryan Gonzales is 1437639440 and his current mailing address is 2275 Arlington Dr, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437639440.
Healthcare Provider's Profile
| Full Name | Ryan Gonzales |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2275 Arlington Dr, San Leandro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437639440
- Provider Enumeration Date: 08/19/2018
- Last Update Date: 07/14/2020
Medical Identifiers
Medical identifiers for Ryan Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437639440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Gonzales is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ryan Gonzales,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Ryan Gonzales,
2275 Arlington Dr,
San Leandro, CA 94578
Ph: (510) 317-1444 |
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