John Omar Gonzalez, is a
Case Manager/care Coordinator based in San Jose, California. John Omar Gonzalez is licensed to practice in * (Not Available) (license number ) and his current practice location is
160 E Virginia St Ste 100, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 938-2113.
NPI number for John Omar Gonzalez is 1174397699 and his current mailing address is 160 E Virginia St Ste 100, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174397699.
Healthcare Provider's Profile
| Full Name | John Omar Gonzalez |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 160 E Virginia St Ste 100, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174397699
- Provider Enumeration Date: 11/15/2023
- Last Update Date: 11/15/2023
Medical Identifiers
Medical identifiers for John Omar Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174397699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. John 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 |
|---|
John Omar Gonzalez,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 938-2113 | John Omar Gonzalez,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 938-2113 |
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