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MR. CHRISTOPHER MEDINA GONZALES JR. ASW
NPI 1306194196
Social Worker - Clinical in San Jose, CA

Active since August 27, 2012PECOS Enrolled
1340 TULLY RD, SAN JOSE, CA 95122(408) 271-3900 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Christopher Medina Gonzales Jr. Asw NPPES

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

MR. CHRISTOPHER MEDINA GONZALES JR. ASW (NPI 1306194196) is an individual clinical provider in San Jose, California, licensed in California (951) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1306194196
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHRISTOPHER MEDINA GONZALES JR.Credential: ASW
Location Address1340 TULLY RDSan Jose, CA 95122-3055
Mailing Address1340 Tully Rd, Suite 301San Jose, CA 95122-3055 · (408) 271-3900
Phone(408) 271-3900
Sole ProprietorNo
Enumeration DateAugust 27, 2012
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1306194196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 951
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1340 TULLY RD, San Jose, CA 95122
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Secondary Practice Location 1

Location 1160 E Virginia St, Suite 280San Jose, CA 95112-5857 · Phone (408) 287-6200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Christopher Medina Gonzales Jr. Asw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS STEPHANIE PEDRO
Counselor
1340 TULLY RD, SUITE 304
SAN JOSE, CA 95122
Santa Clara County (408) 271-3900
NEW LIFE AND HOPE, INC.
Exclusive Provider Organization
1340 TULLY RD, #309
SAN JOSE, CA 95122
Santa Clara County (408) 728-1957
MARTHA MARIA NARANJO JR.
Counselor
1340 TULLY RD, SUITE 304
SAN JOSE, CA 95122
Santa Clara County (408) 271-3900
NGOC HUYNH
Community Health Worker
1340 TULLY RD
SAN JOSE, CA 95122
Santa Clara County (408) 271-3900
AMIE OK LEE
Case Manager/Care Coordinator
1340 TULLY RD, SUITE 304
SAN JOSE, CA 95122
Santa Clara County (408) 271-3900
MS. ADELA STAGNARO
Counselor
1340 TULLY RD, SUITE 304
SAN JOSE, CA 95122
Santa Clara County (408) 271-3900
ARCHANA NEELMEGH
Counselor (Mental Health)
1340 TULLY RD, SUITE 304
SAN JOSE, CA 95122
Santa Clara County (408) 271-3900
EUFROSINA A GATES
Counselor
1340 TULLY RD
SAN JOSE, CA 95122
Santa Clara County (415) 410-3160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Gonzales's NPI number?

The NPI number for Christopher Gonzales is 1306194196. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Where is Christopher Gonzales located?

Christopher Gonzales practices at 1340 Tully Rd, San Jose, CA 95122. The listed phone number is (408) 271-3900.

What is Christopher Gonzales's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Christopher Gonzales enrolled in Medicare?

Yes. Christopher Gonzales is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Gonzales was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.