Individual ProviderJustin GonzalesAdult CompanionNursing Service Related ProvidersPractice Address121 Downey Ave, Modesto, CA 95354-1208(209) 202-2098(209) 495-5481PECOS EnrollmentBased on the most recent information from CMS, provider Justin Gonzales does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1346139201Provider TypeIndividualFull NameGonzales, JustinTitleMr.GenderMaleSole ProprietorNoEnumeration Date7/2/2025Last Updated7/3/2025Contact InformationPractice LocationPractice Address121 Downey Ave, Modesto, CA 95354-1208Phone(209) 202-2098FaxUnlisted FaxMailing LocationMailing Address121 Downey Ave, Modesto, CA 95354-1208Phone(209) 495-5481FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode372600000XPrimaryDescriptionAdult CompanionNursing Service Related ProvidersLicenseUnlisted Issuer