FREDIE MICHAEL GONZALEZ CPSS NPI 1881592319

NPI Information

  • NPI: 1881592319
  • Provider Name: FREDIE MICHAEL GONZALEZ, CPSS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 200 MICHIGAN AVE
    VISTA, CA
    ZIP 92084
  • Phone: (442) 461-7642

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NPI Details

Fredie Michael Gonzalez, CPSS is a peer specialist in Vista, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Fredie Michael Gonzalez, CPSS NPI is 1881592319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 MICHIGAN AVE
VISTA, CA
ZIP 92084-424
Phone: (442) 461-7642

The enumeration date for this NPI number is 10/26/2026 and was last updated on 10/26/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistMPPS-VRFCWHCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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