Active NPI
Patricia Mae Gonsalves, RN
- Registered Nurse
- Sacramento, CA
National Provider Identifier
1003000985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 197225
- Practice address
- 7171 Bowling Dr
Suite 800
Sacramento, CA 95823-2034 - Phone
- (916) 875-5000
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 197225 | CA | Primary |
Addresses
Primary practice location
7171 Bowling Dr
Suite 800
Sacramento, CA 95823-2034
Mailing address
7001A East Pkwy
Suite 600
Sacramento, CA 95823-2501
Phone (916) 875-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197225 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1003000985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001A EAST PKWY",
"address_2": "SUITE 600",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232501",
"telephone_number": "916-875-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 BOWLING DR",
"address_2": "SUITE 800",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232034",
"telephone_number": "916-875-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSALVES",
"first_name": "PATRICIA",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "197225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.