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JESUS GONZALES
NPI 1710462064
Rehabilitation Practitioner in San Andreas, CA

Active since October 02, 2018
590 TOYANZA DRIVE, SAN ANDREAS, CA 95249(209) 754-6813 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2026, Oct 10, 2025, Oct 2, 2018 (3 updates tracked since 2018).

About Jesus Gonzales NPPES

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

JESUS GONZALES (NPI 1710462064) is an individual rehabilitation practitioner in San Andreas, California and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1710462064
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJESUS GONZALES
Location Address590 TOYANZA DRIVESan Andreas, CA 95249-9713
Mailing Address590 Toyanza DriveSan Andreas, CA 95249-9713 · (209) 754-6813
Phone(209) 754-6813
Sole ProprietorNo
Enumeration DateOctober 2, 2018
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1710462064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
590 TOYANZA DRIVE, San Andreas, CA 95249
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF CALAVERAS
Clinic/Center (Rehabilitation, Substance Use Disorder)
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525
CARLEY MARTIN
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6572
ROBERT R FULGHAM SUDCC II
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
LYNDSI MARIE HOUSE SUDRC I
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-2833
JOSHUA DAVID CHRISTIE SUDRC I
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
CHARLENE HERNANDEZ
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (951) 543-0031
SANDY WELLS
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525
CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM
Clinic/Center (Rehabilitation, Substance Use Disorder)
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555

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 Jesus Gonzales's NPI number?

The NPI number for Jesus Gonzales is 1710462064. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Jesus Gonzales located?

Jesus Gonzales practices at 590 Toyanza Drive, San Andreas, CA 95249. The listed phone number is (209) 754-6813.

What is Jesus Gonzales's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jesus Gonzales was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.