Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM ROBERT GONZALES, CNA
ActiveSAM ROBERT GONZALES, CNA is a Nurse's Aide healthcare provider located in GRASS VALLEY, California. NPI 1881589539 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · GRASS VALLEY, CA
Registration Details
- NPI Number
- 1881589539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2025 (1.1318112201686 yrs)
- Last Updated
- Jun 12, 2025
- License
-
01224031 (CA)
Practice Information
- Address
-
159 BRENTWOOD DRGRASS VALLEY, CA, 959455703Browse CA providers · Browse ZIP 95945
- Phone
- 5304604082
- Fax
- 5302739541
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.