Provider Demographics
NPI:1689551947
Name:NAVA-PEREZ, GONZALO
Entity type:Individual
Prefix:
First Name:GONZALO
Middle Name:
Last Name:NAVA-PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 HERMOSA AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-8303
Mailing Address - Country:US
Mailing Address - Phone:559-797-6832
Mailing Address - Fax:
Practice Address - Street 1:15218 W WHITESBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1000
Practice Address - Country:US
Practice Address - Phone:559-843-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool