Healthcare Provider Details

I. General information

NPI: 1134974884
Provider Name (Legal Business Name): ALONDRA G DELGADILLO GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 SUNRISE AVE STE 300
ROSEVILLE CA
95661-4144
US

IV. Provider business mailing address

900 E MAIN ST STE 201
GRASS VALLEY CA
95945-5853
US

V. Phone/Fax

Practice location:
  • Phone: 916-783-5207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: