| Jenelle Gonzalez, NP | |
|
2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 | |
| (800) 972-5547 | |
| (707) 559-7620 |
| Full Name | Jenelle Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2360 Mendocino Ave Ste A4, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942740972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95006238 (California) | Primary |
| Entity Name | Petaluma Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
| Entity Name | Gurpreet S Dhugga Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053649376 PECOS PAC ID: 0840339107 Enrollment ID: O20091125000395 |
| Entity Name | Snf Specialists Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497265565 PECOS PAC ID: 3678849049 Enrollment ID: O20171030003464 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenelle Gonzalez, NP 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (800) 972-5547 | Jenelle Gonzalez, NP 2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 Ph: (800) 972-5547 |
Peggy Walsh Goebel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404 Phone: 707-585-7780 Fax: 707-585-7784 | |
Sophia Rose Wuest, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Lombardi Ct, Santa Rosa, CA 95407 Phone: 707-303-3600 | |
Julie Barlow, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207 | |
Suzanne Watts Dedmore, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600 | |
Amada Ligia Gomez, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404 Phone: 786-385-4492 | |
Genesis Callejas-mir, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445 | |
Felipa Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 Phone: 707-570-1130 Fax: 707-571-2478 |