Carmina Vital-gonzalez, MA is a
Psychologist - School based in Durham, California. Carmina Vital-gonzalez is licensed to practice in California (license number 180161679) and her current practice location is
9420 Putney Dr, Durham, California. She can be reached at her office (for appointments etc.) via phone at
(530) 895-4697.
NPI number for Carmina Vital-gonzalez is 1902576713 and her current mailing address is 9420 Putney Dr, Durham, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902576713.
Healthcare Provider's Profile
Full Name | Carmina Vital-gonzalez |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 9420 Putney Dr, Durham, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902576713
- Provider Enumeration Date: 09/14/2021
- Last Update Date: 09/14/2021
Medical Identifiers
Medical identifiers for Carmina Vital-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902576713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 180161679 (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. Carmina Vital-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 |
Carmina Vital-gonzalez, MA 9420 Putney Dr, Durham, CA 95938-9426 Ph: (530) 895-4697 | Carmina Vital-gonzalez, MA 9420 Putney Dr, Durham, CA 95938-9426 Ph: (530) 895-4697 |
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