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NPI Code Detail

MEDICARE: JESSICA ADELINE GONZALEZ

MEDICARE: JESSICA ADELINE GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95409822CA

General Provider Information

NPI Number : 1477410884
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ADELINE GONZALEZ
Provider Business Mailing Address
First Line : 3051 QUANTUM DR APT 3114
Second Line :
City : FREMONT
State : CA
Zip : 94538-6689
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2950 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2228
Country : US
Telephone Number : 510-535-4410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ JESSICA ADELINE GONZALEZ ” Practice Location

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