Miss Dianna Marisol Gonzalez, PHD is a medicare enrolled "Psychologist - Counseling" provider in Torrance, California. Her current practice location is
2601 Airport Dr, 135, Torrance, California. You can reach out to her office (for appointments etc.) via phone at
(424) 201-1600.
Miss Dianna Marisol Gonzalez is licensed to practice in California (license number PSY26893) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275664500.
Healthcare Provider's Profile
Full Name | Miss Dianna Marisol Gonzalez |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 2601 Airport Dr, Torrance, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275664500
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 05/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 7214242072
- Enrollment ID: I20150824000341
Medical Identifiers
Medical identifiers for Miss Dianna Marisol Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275664500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | IMF52865 (California) | Secondary |
103TC1900X | Psychologist - Counseling | PSY26893 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Dianna Marisol Gonzalez allows following entities to bill medicare on her behalf.
Entity Name | Crossroads Institute For Psychotherapy And Assessment, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831432806 PECOS PAC ID: 9638391949 Enrollment ID: O20141120001200 |
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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. Miss Dianna Marisol Gonzalez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Dianna Marisol Gonzalez, PHD 2601 Airport Dr, 135, Torrance, CA 90505-6140 Ph: (424) 201-1600 | Miss Dianna Marisol Gonzalez, PHD 2601 Airport Dr, 135, Torrance, CA 90505-6140 Ph: (424) 201-1600 |
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