MEDICARE: NATALIE 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
1	1041C0700X	Clinical Social Worker		CA

General Provider Information

NPI Number	:	1598596421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE GONZALEZ

Provider Business Mailing Address
First Line	:	17377 CALLE DEL SOL
Second Line	:
City	:	MORGAN HILL
State	:	CA
Zip	:	95037-7400
Country	:	US
Telephone Number	:	408-710-3843
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 PARKMOOR AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2407
Country	:	US
Telephone Number	:	408-282-0402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	06/10/2026

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