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LLANEICI GONZALEZ CCMA
NPI 1740154475
Substance Abuse Rehabilitation Facility in Indio, CA

Active since October 04, 2025
44359 PALM ST, INDIO, CA 92201(760) 342-6616 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Llaneici Gonzalez Ccma NPPES

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

LLANEICI GONZALEZ CCMA (NPI 1740154475) is an individual substance abuse rehabilitation facility provider in Indio, California, licensed in California (M3C6M8N4) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1740154475
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameLLANEICI GONZALEZCredential: CCMA
Location Address44359 PALM STIndio, CA 92201-3116
Mailing Address46350 Towne St Spc 57Indio, CA 92201-5925 · (760) 342-6616
Phone(760) 342-6616
Sole ProprietorYes
Enumeration DateOctober 4, 2025
NPPES CertifiedOctober 4, 2025
✔ NPI 1740154475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · M3C6M8N4
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
44359 PALM ST, Indio, CA 92201
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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.

ASHLEY MIRANDA LVN
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
RAFAEL ALVAREZ
Peer Specialist
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 668-4479
HEIDI CHRISTINE FLORES
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
DEBORAH ANN MORAN-VILLARREAL LVN
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
MRS. MARCI BERRY
Counselor (Addiction (Substance Use Disorder))
44359 PALM ST
INDIO, CA 92201
Riverside County (310) 779-1947
IRENE MICHELLE ROJAS
Counselor (Addiction (Substance Use Disorder))
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
NYDIA ELLENA MARAVILLA RADT
Behavior Technician
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
AMANDA DEGROOT RADT
Counselor (Addiction (Substance Use Disorder))
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 324-6616

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 Llaneici Gonzalez's NPI number?

The NPI number for Llaneici Gonzalez is 1740154475. It was assigned to this individual provider in the NPPES registry on October 4, 2025.

Where is Llaneici Gonzalez located?

Llaneici Gonzalez practices at 44359 Palm St, Indio, CA 92201. The listed phone number is (760) 342-6616.

What is Llaneici Gonzalez's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Llaneici Gonzalez was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.