GMG Health Systems Associates PA

Organization Active NPI Family Medicine Physician · San Antonio, TX

NPI 1023030160 · NPPES record last updated Mar 31, 2023

Key facts

NPI
1023030160
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
GMG HEALTH SYSTEMS ASSOCIATES PA
Practice address
720 Pleasanton Rd
San Antonio, TX 78214-1306
Phone
(210) 921-3800
Fax
(210) 334-2851
NPI assigned
Jul 25, 2006
Organization subpart
No

Authorized official

Name
William Gonzaba Sr., MD NPI 1548231905
Title
President/Ceo
Phone
(210) 921-3800

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 222

Medicare participation

Medicare fee-for-service enrollment
Enrolled (5 enrollments) in TX, WA, CA, MI, MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040121001049 TX Part B Supplier - Clinic/Group Practice 8123932647 Receives reassigned benefits from 139 practitioners
Practice locations: San Antonio, TX
O20230801001992 WA Part B Supplier - Clinic/Group Practice 8123932647 Receives reassigned benefits from 1 practitioner
Practice locations: Walla Walla, WA
O20231016001334 CA Part B Supplier - Clinic/Group Practice 8123932647 Receives reassigned benefits from 3 practitioners
Practice locations: Irvine, CA; Santa Barbara, CA; Menlo Park, CA; Huntington Beach, CA
O20240429003344 MI Part B Supplier - Clinic/Group Practice 8123932647 Receives reassigned benefits from 1 practitioner
Practice locations: Midland, MI
O20260529002151 MO Part B Supplier - Clinic/Group Practice 8123932647 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterfield, MO

National Provider Directory

Locations

902 Bandera Rd
San Antonio, TX 78228
Phone (210) 431-4503

3520 S New Braunfels Ave
Ste 106A
San Antonio, TX 78223

3520 S New Braunfels Ave
Ste 106
San Antonio, TX 78223

1499 Hillcrest Dr
San Antonio, TX 78228
Phone (210) 921-6600

6487 Blanco Rd
San Antonio, TX 78216

1423 Guadalupe St
Ste 101
San Antonio, TX 78207

1423 Guadalupe St
Ste 102
San Antonio, TX 78207
Phone (210) 223-3050

1313 Guadalupe St
Ste 100
San Antonio, TX 78207

1130 Goliad Rd
San Antonio, TX 78223

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X

Addresses

Primary practice location

720 Pleasanton Rd
San Antonio, TX 78214-1306

Mailing address

720 Pleasanton Rd
San Antonio, TX 78214-1306
Phone (210) 921-3800

Other identifiers

IdentifierTypeStateIssuer
CH4150OtherTXRR MEDICARE
081146501MedicaidTX

Other names

  • Gonzaba Medical Group Doing business as

Other providers in San Antonio, TX

All providers in San Antonio, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.