Healthcare Provider Details

I. General information

NPI: 1518717982
Provider Name (Legal Business Name): SHEILA ANN GONZALEZ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8172 OPAL CIR APT B
HUNTINGTON BEACH CA
92647-8927
US

IV. Provider business mailing address

8172 OPAL CIR APT B
HUNTINGTON BEACH CA
92647-8927
US

V. Phone/Fax

Practice location:
  • Phone: 714-757-7595
  • Fax:
Mailing address:
  • Phone: 714-757-7595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95030380
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number95236792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: