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

Jesus Gonzales

Individual provider Rehabilitation Practitioner · NPI 1710462064

Jesus Gonzales is a Rehabilitation Practitioner in San Andreas, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

590 Toyanza Dr
San Andreas, CA 95249-9713
Phone: (209) 754-6813
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1710462064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address590 Toyanza Drive, San Andreas, CA 95249-9713

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