JORGE GONZALES
NPI 1659974848
Case Manager/Care Coordinator in San Luis Obispo, CA

Q: What is Jorge Gonzales's NPI number?

The NPI number for Jorge Gonzales is 1659974848. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Q: What is Jorge Gonzales's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Gonzales was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 19, 2020

2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 781-4795(805) 781-5731 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jorge Gonzales NPPES

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

JORGE GONZALES (NPI 1659974848) is an individual case manager/care coordinator provider in San Luis Obispo, California, licensed in California (R1410931120) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1659974848

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameJORGE GONZALES

Location Address2180 JOHNSON AVESan Luis Obispo, CA 93401

Mailing Address2180 Johnson AveSan Luis Obispo, CA 93401-4558 · (805) 781-4971

Phone(805) 781-4795

Fax(805) 781-5731

Sole ProprietorNo

Enumeration DateNovember 19, 2020

NPPES CertifiedNovember 6, 2020

✔ NPI 1659974848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in CA · R1410931120

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2180 JOHNSON AVE, San Luis Obispo, CA 93401

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Other Identifiers 1

OtherR1410931120CA · Medi Cal

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.

MR. JEFFREY WHITE

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