MEDICARE: SELINA GONZALES

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	163WS0200X	School Registered Nurse	95355272	CA

General Provider Information

NPI Number	:	1699322941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SELINA GONZALES

Provider Business Mailing Address
First Line	:	255 PICO AVE
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92069-3709
Country	:	US
Telephone Number	:	760-290-2430
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 PICO AVE
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92069-3709
Country	:	US
Telephone Number	:	760-290-2430
Fax Number	:

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

Provider Enumeration Date	:	08/21/2019
Last Update Date	:	02/19/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1740137397 — ANNE M LAYMON RN
Practice Location Address:

255 PICO AVE
SAN MARCOS, CA
92069-3709

Practice Phone: 760-290-2556
Practice Fax:

1548922388 — DR. DIANA KIRALYFALVI CASILLAS AUD.
Practice Location Address:

255 PICO AVE STE 200
SAN MARCOS, CA
92069-3709

Practice Phone: 760-307-1337
Practice Fax: 760-591-3510

1932172707 — MILLENNIUM HOME HEALTH CARE, INC.
Practice Location Address:

2403 FREDERICKSBURG RD
SAN ANTONIO, TX
78201-3709

Practice Phone: 210-737-1545
Practice Fax: 210-736-5296

1740257781 — DR. IDAMYS ANGELICA HERRERA ABUHAZI M.D.
Practice Location Address:

1433 CALLE SAN ENRIQUE , ALTAMESA
SAN JUAN, PR
00921-3709

Practice Phone: 787-505-1848
Practice Fax:

1497710248 — GOLIRZ GHIASSI DDS
Practice Location Address:

712 D ST , SUITE I
SAN RAFAEL, CA
94901-3709

Practice Phone: 415-454-1267
Practice Fax: 415-339-8336

Directions to “ SELINA GONZALES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.