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

Ivette Carrillo Gonzalez

Individual provider Community Health Worker · NPI 1205488905

Ivette Carrillo Gonzalez is a Community Health Worker in Santa Rosa, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

3400 Montgomery Dr
Santa Rosa, CA 95405-5142
Phone: (707) 526-6902
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1205488905
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESAugust 8, 2025
Certification dateJuly 28, 2025
Mailing address1100 Lincoln Ave Ste 108, Napa, CA 94558-4908

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