LYNETTE GONZALEZ M.D
NPI 1629710025
Student in an Organized Health Care Education/Training Program in Santa Clara, CA

Active since April 07, 2022PECOS Enrolled
700 LAWRENCE EXPY, SANTA CLARA, CA 95051(760) 460-1052 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lynette Gonzalez M.d NPPES

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

LYNETTE GONZALEZ M.D (NPI 1629710025) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2022).

NPPES Registry Identity

NPI1629710025
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLYNETTE GONZALEZCredential: M.D
Location Address700 LAWRENCE EXPYSanta Clara, CA 95051-5173
Mailing Address700 Lawrence ExpySanta Clara, CA 95051-5173 · (760) 460-1052
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2022
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1629710025 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.
700 LAWRENCE EXPY, Santa Clara, CA 95051

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lynette Gonzalez M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769957133
PECOS Enrollment IDI20260414000461
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.

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.

Hospitalist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Respiratory Therapist, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Doula
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Student in an Organized Health Care Education/Training Program
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist
700 LAWRENCE EXPY, DEPT 301
SANTA CLARA, CA 95051

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 Lynette Gonzalez's NPI number?

The NPI number for Lynette Gonzalez is 1629710025. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Lynette Gonzalez located?

Lynette Gonzalez practices at 700 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (760) 460-1052.

What is Lynette Gonzalez's specialty?

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

Is Lynette Gonzalez enrolled in Medicare?

Yes. Lynette Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lynette Gonzalez was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.