MAXINE GONZALEZ
NPI 1639784853
Peer Specialist in Redding, CA

Active since September 14, 2020
1650 OREGON ST STE 104, REDDING, CA 96001(530) 691-4577 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2023, Nov 29, 2022, Nov 19, 2022 and 1 more (4 updates tracked since 2020).

About Maxine Gonzalez NPPES

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

MAXINE GONZALEZ (NPI 1639784853) is an individual peer specialist in Redding, California and active in the NPI registry since September 2020. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1639784853
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMAXINE GONZALEZ
Location Address1650 OREGON ST STE 104Redding, CA 96001-1754
Mailing Address1650 Oregon St Ste 104Redding, CA 96001-1754 · (530) 691-4577
Sole ProprietorYes
Enumeration DateSeptember 14, 2020
Last NPPES UpdateFebruary 16, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
NPI 1639784853 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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1650 OREGON ST STE 104, Redding, CA 96001

Other Names 1

Former Name (1)Maxine Demos

Secondary Practice Location 1

Location 13132 Jefferson StSan Diego, CA 92110-4421 · Phone (619) 683-3100

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 Maxine Gonzalez's NPI number?

The NPI number for Maxine Gonzalez is 1639784853. It was assigned to this individual provider in the NPPES registry on September 14, 2020. The provider is also known as Maxine Demos.

Where is Maxine Gonzalez located?

Maxine Gonzalez practices at 1650 Oregon St Ste 104, Redding, CA 96001. The listed phone number is (530) 691-4577.

What is Maxine Gonzalez'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 Maxine Gonzalez was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.