Provider Demographics
NPI:1255669370
Name:GONZALES, NATALIE MARIA GRANDI (FNP- BC, MSN, BSN)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIA GRANDI
Last Name:GONZALES
Suffix:
Gender:F
Credentials:FNP- BC, MSN, BSN
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:MARIA
Other - Last Name:GRANDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5810 RANCH VIEW RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-4912
Mailing Address - Country:US
Mailing Address - Phone:760-518-6670
Mailing Address - Fax:
Practice Address - Street 1:1701 MISSION AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-7102
Practice Address - Country:US
Practice Address - Phone:760-967-4475
Practice Address - Fax:760-433-2726
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 244251164X00000X
CA801264163W00000X
CA95034657363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
No163W00000XNursing Service ProvidersRegistered Nurse