Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IVAN ALEXIS GONZALES
NPI 1356256440
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Active since August 14, 2026
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209(208) 282-4726 Get Directions Write a Review

NPPES record added: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivan Alexis Gonzales NPPES

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

IVAN ALEXIS GONZALES (NPI 1356256440) is an individual student in an organized health care education/training program in Pocatello, Idaho and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1356256440
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIVAN ALEXIS GONZALES
Location Address921 S 8TH AVE STOP 8253Pocatello, ID 83209-0002
Mailing Address921 S 8th Ave Stop 8253Pocatello, ID 83209-0002 · (208) 282-4726
Sole ProprietorNo
Enumeration DateAugust 14, 2026
NPPES CertifiedAugust 14, 2026
NPI 1356256440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
921 S 8TH AVE STOP 8253, Pocatello, ID 83209

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.

Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209

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 Ivan Gonzales's NPI number?

The NPI number for Ivan Gonzales is 1356256440. It was assigned to this individual provider in the NPPES registry on August 14, 2026.

Where is Ivan Gonzales located?

Ivan Gonzales practices at 921 S 8th Ave Stop 8253, Pocatello, ID 83209. The listed phone number is (208) 282-4726.

What is Ivan Gonzales's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ivan Gonzales was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.