MISS VICKI NICOLE GONZALEZ JR.
NPI 1083335111
Nurse Practitioner in San Bernardino, CA

Active since September 07, 2022
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405(909) 881-7320 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Vicki Nicole Gonzalez Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS VICKI NICOLE GONZALEZ JR. (NPI 1083335111) is an individual nurse practitioner in San Bernardino, California, licensed in California (95020546) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1083335111
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS VICKI NICOLE GONZALEZ JR.
Location Address742 W HIGHLAND AVESan Bernardino, CA 92405-3839
Mailing Address742 W Highland AveSan Bernardino, CA 92405-3839 · (909) 881-7320
Sole ProprietorNo
Enumeration DateSeptember 7, 2022
NPPES CertifiedJuly 27, 2022
NPI 1083335111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95020546
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

742 W HIGHLAND AVE, San Bernardino, CA 92405

Other Identifiers 1

Medicaid95020546CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Obstetrics & Gynecology
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Pediatrics
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Family Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Obstetrics & Gynecology
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083335111, enumerated as an "individual" on September 07, 2022.

The provider is located at 742 W HIGHLAND AVE SAN BERNARDINO, CA 92405 and the phone number is (909) 881-7320.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.