Vladimr Adan Maza Gonzalez, N/A
NPI 1154215077ActiveIndividual· Prevention Professional· San Bernardino, CA
Prevention Professional (N/A) in San Bernardino, California, licensed in CA, with an NPI issued in June 2025.
Overview
| NPI | 1154215077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | N/A |
| Sole proprietor | Yes |
| NPI issued | Jun 5, 2025 |
| Last updated in NPPES | Jun 5, 2025 |
| Certified by provider | Jun 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prevention Professional Primary | 405300000X | NA | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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