NPIMap

Organization Active NPI

GMG Health Systems Associates PA

Doing business as Gonzaba Medical Group

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1023030160
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GMG HEALTH SYSTEMS ASSOCIATES PA
Doing business as
Gonzaba Medical Group
Practice address
720 Pleasanton Rd
San Antonio, TX 78214-1306
Phone
(210) 921-3800
Fax
(210) 334-2851
NPI assigned
Jul 25, 2006
Last updated
Mar 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 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 names 1

  • Gonzaba Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, CA, MI, MO5 enrollments

Enrollment records 5

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

National Provider Directory

Locations

1130 Goliad Rd
San Antonio, TX 78223

1313 Guadalupe St
Ste 100
San Antonio, TX 78207

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

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

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

6487 Blanco Rd
San Antonio, TX 78216

720 Pleasanton Rd
San Antonio, TX 78214

730 Pleasanton Rd
San Antonio, TX 78214
Phone (210) 921-5726

Practitioners & affiliated clinicians

Practitioners 222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1023030160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141306",
            "telephone_number": "210-921-3800",
            "fax_number": "210-921-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141306",
            "telephone_number": "210-921-3800",
            "fax_number": "210-334-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMG HEALTH SYSTEMS ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "GONZABA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "210-921-3800",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonzaba Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gonzaba Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.