EDSON LUCERO GONZALES
NPI 1609435254
Peer Specialist in Riverside, CA

Active since June 07, 2019
4590 ALLSTATE DR, RIVERSIDE, CA 92501(909) 599-1227 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2023, Jun 7, 2019 (2 updates tracked since 2019).

About Edson Lucero Gonzales NPPES

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

EDSON LUCERO GONZALES (NPI 1609435254) is an individual peer specialist in Riverside, California and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1609435254
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameEDSON LUCERO GONZALES
Location Address4590 ALLSTATE DRRiverside, CA 92501-1702
Mailing Address4590 Allstate DrRiverside, CA 92501-1702 · (909) 599-1227
Sole ProprietorNo
Enumeration DateJune 7, 2019
Last NPPES UpdateMay 31, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
NPI 1609435254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
4590 ALLSTATE DR, Riverside, CA 92501

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.

Social Worker
4590 ALLSTATE DR
RIVERSIDE, CA 92501
Social Worker (Clinical)
4590 ALLSTATE DR
RIVERSIDE, CA 92501
Marriage & Family Therapist
4590 ALLSTATE DR
RIVERSIDE, CA 92501
Marriage & Family Therapist
4590 ALLSTATE DR
RIVERSIDE, CA 92501
Community Health Worker
4590 ALLSTATE DR
RIVERSIDE, CA 92501
Social Worker
4590 ALLSTATE DR
RIVERSIDE, CA 92501
Social Worker
4590 ALLSTATE DR
RIVERSIDE, CA 92501
Marriage & Family Therapist
4590 ALLSTATE DR
RIVERSIDE, CA 92501

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 Edson Lucero Gonzales's NPI number?

The NPI number for Edson Lucero Gonzales is 1609435254. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Edson Lucero Gonzales located?

Edson Lucero Gonzales practices at 4590 Allstate Dr, Riverside, CA 92501. The listed phone number is (909) 599-1227.

What is Edson Lucero Gonzales's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Edson Lucero Gonzales was last updated on May 31, 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.