MIRLA ERALIA GONZALEZ MORALES
Complete NPI Record 1043049398
Day Training/Habilitation Specialist in Kerman, CA
Active since July 26, 2024
Complete NPI Dataset
This page contains the complete raw NPPES record for Mirla Eralia Gonzalez Morales (NPI 1043049398), an individual day training/habilitation specialist provider in Kerman, CA. All 24 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1043049398 Field 1/24
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/24
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: GONZALEZ MORALES Field 3/24
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: MIRLA Field 4/24
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: ERALIA Field 5/24
- The middle name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 275 S MADERA AVE STE 302,403& 404 Field 6/24
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: KERMAN Field 7/24
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 8/24
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 93630 Field 9/24
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/24
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8553431057 Field 11/24
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 275 S MADERA AVE STE 302,403& 404 Field 12/24
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: KERMAN Field 13/24
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 14/24
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 93630 Field 15/24
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/24
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8553431057 Field 17/24
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 20/24
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 373H00000X Field 21/24
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 22/24
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 23/24
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 11
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1311 11th St
Location 1/11Reedley, CA 93654-2926 · Phone (855) 343-1057
3855 n west ave ste 105, 108, & 110
Location 2/11Fresno, CA 93705 · Phone (559) 334-6433
3467 W Shaw Ave Ste 101
Location 3/11Fresno, CA 93711-3223 · Phone (559) 271-3096
2731 W Olive Ave
Location 4/11Fresno, CA 93728-2449 · Phone (559) 233-5096
225 Academy Ave
Location 5/11Sanger, CA 93657-2128 · Phone (855) 343-1057
3400 McCall Ave Ste 104
Location 6/11Selma, CA 93662-2560 · Phone (855) 343-1057
3636 N First Street Ste 112 ,124
Location 7/11Fresno, CA 93726 · Phone (855) 343-1057
380 & 386 Coalinga Plz
Location 8/11Coalinga, CA 93210 · Phone (855) 343-1057
3636 N First Street Ste 135, 154,162
Location 9/11Fresno, CA 93726 · Phone (559) 476-2166
1690 W Shaw Ave Ste 201
Location 10/11Fresno, CA 93711-3519 · Phone (855) 343-1057
258 N Blackstone Ave
Location 11/11Fresno, CA 93701-1913 · Phone (559) 274-0299
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