1. Home
  2. Directory
  3. California
  4. Campo
  5. Counselor
  6. NPI Profile

MR. NICOLAS GONZALEZ RADT
NPI 1861190134
Counselor - Addiction (Substance Use Disorder) in Campo, CA

Active since February 16, 2023
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906(196) 478-5696 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 1, 2023, Feb 16, 2023 (2 updates tracked since 2023).

About Mr. Nicolas Gonzalez Radt NPPES

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

MR. NICOLAS GONZALEZ RADT (NPI 1861190134) is an individual addiction (substance use disorder) provider in Campo, California, licensed in California (R1495660123) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1861190134
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. NICOLAS GONZALEZCredential: RADT
Location Address1777 BUCKMAN SPRINGS RDCampo, CA 91906-2022
Mailing Address1777 Buckman Springs RdCampo, CA 91906-2022 · (196) 478-5696
Phone(196) 478-5696
Sole ProprietorNo
Enumeration DateFebruary 16, 2023
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1861190134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1495660123
1777 BUCKMAN SPRINGS RD, Campo, CA 91906
Open in Google Maps ↗

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.

OMAR HERNANDEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
JONATHAN SANDOVAL CCMA
Physician Assistant
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
MR. MARCO MARTINEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CORINNA D. BYNUM RN
Registered Nurse (Administrator)
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
TIM SHAPLIN RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
SAN DIEGO FREEDOM RANCH, INC.
Substance Abuse Rehabilitation Facility
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CARLOS ALBERTO RAMIREZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CHRISTOPHER DAVID SERNA CPSS
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696

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 Nicolas Gonzalez's NPI number?

The NPI number for Nicolas Gonzalez is 1861190134. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Nicolas Gonzalez located?

Nicolas Gonzalez practices at 1777 Buckman Springs Rd, Campo, CA 91906. The listed phone number is (196) 478-5696.

What is Nicolas Gonzalez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicolas Gonzalez was last updated on May 1, 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.