MR. MODESTO GONZALEZ ACSW
NPI 1558072926
Social Worker - Clinical in Encino, CA
About Mr. Modesto Gonzalez Acsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MODESTO GONZALEZ ACSW (NPI 1558072926) is an individual clinical provider in Encino, California, licensed in California (80776) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Modesto Gonzalez Acsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Modesto Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Encino, CA 91436
- Reassigned Medicare billing, California enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Modesto Gonzalez's NPI number?
The NPI number for Modesto Gonzalez is 1558072926. It was assigned to this individual provider in the NPPES registry on December 7, 2022.
Where is Modesto Gonzalez located?
Modesto Gonzalez practices at 15720 Ventura Blvd Ste 520, Encino, CA 91436. The listed phone number is (323) 796-5885.
What is Modesto Gonzalez's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Modesto Gonzalez enrolled in Medicare?
Yes. Modesto Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Modesto Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Modesto Gonzalez reassigns Medicare benefits to Find Your Balance Therapy Center & Family Services A Professional Cor (Encino, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Modesto Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Modesto Gonzalez was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Mr. Modesto Gonzalez, ACSW · NPI 1558072926
Clinical provider in Encino, California. Individual provider, active in the CMS NPPES registry since December 7, 2022.
## Identity
- **NPI:** 1558072926 (Entity type: Individual)
- **Enumerated:** December 7, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 80776 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15720 VENTURA BLVD STE 520, Encino, CA 91436-4723
- **Phone:** (323) 796-5885
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Find Your Balance Therapy Center & Family Services A Professional Cor (NPI 1801405014, Encino, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 18, 2026
- **Other identifiers:** Other D7995159 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1558072926) · Data from the CMS NPPES public registry.