ZENITH AUSTEN GONZALEZ N.P. NPI 1962452888

NPI Information

NPI: 1962452888
Provider Name: ZENITH AUSTEN GONZALEZ, N.P.
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
3105 CEDAR RAVINE RD STE 103
PLACERVILLE, CA
ZIP 95667
Phone: (530) 295-1900
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Zenith Austen Gonzalez, N.P. is an obstetrics and gynecology nurse practitioner in Placerville, CA. Zenith Austen Gonzalez, N.P. NPI is 1962452888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3105 CEDAR RAVINE RD STE 103
PLACERVILLE, CA
ZIP 95667-561
Phone: (530) 295-1900
Fax: (530) 295-9400

The NPI 1962452888 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 5/12/2016.

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
1	363L00000X	Nurse Practitioner		12202	CALIFORNIA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	12202	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P47165	MEDICARE UPIN
2	YYY49032Y	MEDICAID	CALIFORNIA
3	YYY49032Y	MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

NPI Synchronization or Removal

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