Healthcare Provider Details

I. General information

NPI: 1306769641
Provider Name (Legal Business Name): MICHAEL PARAN GONZALES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2697 SAVIERS RD
OXNARD CA
93033-4519
US

IV. Provider business mailing address

3138 S L ST
OXNARD CA
93033-5145
US

V. Phone/Fax

Practice location:
  • Phone: 805-586-9900
  • Fax:
Mailing address:
  • Phone: 805-586-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: