Omar Gonzalez, ACSW is a
Counselor - Mental Health based in Pasadena, California. Omar Gonzalez is licensed to practice in California (license number ASW83400) and his current practice location is
867 N Fair Oaks Ave, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 437-5881.
NPI number for Omar Gonzalez is 1942811252 and his current mailing address is 867 N Fair Oaks Ave, Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942811252.
Healthcare Provider's Profile
Full Name | Omar Gonzalez |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 867 N Fair Oaks Ave, Pasadena, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942811252
- Provider Enumeration Date: 08/11/2020
- Last Update Date: 02/23/2021
Medical Identifiers
Medical identifiers for Omar Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942811252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | ASW83400 (California) | Secondary |
101YM0800X | Counselor - Mental Health | ASW83400 (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. Omar 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 |
Omar Gonzalez, ACSW 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 Ph: (626) 437-5881 | Omar Gonzalez, ACSW 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 Ph: (626) 437-5881 |
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