Stacey Gonzalez, is a
Community Health Worker based in Cerritos, California. Stacey Gonzalez is licensed to practice in California (license number ) and her current practice location is
17707 Studebaker Rd, Cerritos, California. She can be reached at her office (for appointments etc.) via phone at
(562) 402-0688.
NPI number for Stacey Gonzalez is 1689342214 and her current mailing address is 470 E 3rd St Ste A&b, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689342214.
Healthcare Provider's Profile
Full Name | Stacey Gonzalez |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 17707 Studebaker Rd, Cerritos, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689342214
- Provider Enumeration Date: 08/30/2021
- Last Update Date: 04/11/2024
Medical Identifiers
Medical identifiers for Stacey Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689342214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (California) | 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. Stacey Gonzalez 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 |
Stacey Gonzalez, 470 E 3rd St Ste A&b, Los Angeles, CA 90013-1629 Ph: (213) 626-6411 | Stacey Gonzalez, 17707 Studebaker Rd, Cerritos, CA 90703-2640 Ph: (562) 402-0688 |
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