JAKE ANTHONY GONZALES
NPI 1720863962
Student in an Organized Health Care Education/Training Program in Sierra Madre, CA

Q: What is Jake Gonzales's NPI number?

The NPI number for Jake Gonzales is 1720863962. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Q: What is Jake Gonzales's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jake Gonzales was last updated on August 28, 2023. 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.

Active since August 28, 2023

145 S BALDWIN AVE, SIERRA MADRE, CA 91024(626) 771-7711 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jake Anthony Gonzales NPPES

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

JAKE ANTHONY GONZALES (NPI 1720863962) is an individual student in an organized health care education/training program in Sierra Madre, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1720863962

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAKE ANTHONY GONZALES

Location Address145 S BALDWIN AVESierra Madre, CA 91024

Mailing Address145 S Baldwin AveSierra Madre, CA 91024 · (626) 771-7711

Phone(626) 771-7711

Sole ProprietorNo

Enumeration DateAugust 28, 2023

NPPES CertifiedAugust 27, 2023

✔ NPI 1720863962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

145 S BALDWIN AVE, Sierra Madre, CA 91024

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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 Jake Gonzales's NPI number?

The NPI number for Jake Gonzales is 1720863962. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Jake Gonzales located?

Jake Gonzales practices at 145 S Baldwin Ave, Sierra Madre, CA 91024. The listed phone number is (626) 771-7711.

What is Jake Gonzales's specialty?

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

When was this NPI record last updated?

The NPPES record for Jake Gonzales was last updated on August 28, 2023. 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.