Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edson Lucero Gonzales

Individual provider Community Health Worker · NPI 1609435254

Edson Lucero Gonzales is a Community Health Worker in Riverside, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

4590 Allstate Dr
Riverside, CA 92501-1702
Phone: (909) 599-1227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1609435254
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

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