Enrique Jose Gonzalez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G74790 Issued in CA

Practice address

321 S Mednik Ave
Los Angeles, CA 90022

Phone

(323) 261-4706

Fax

(323) 261-4124

NPI assigned

Jan 18, 2007

Last updated

Mar 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Wisconsin School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midas Touch Home Health Services, Inc Home health agency, Northridge, CA, CCN 757445
• S N E Home Health Care Services Home health agency, Whittier, CA, CCN 553119
• Bravo Hospice and Palliative Care Hospice, Northridge, CA, CCN B21650

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEHCDD/Endpoint/FEHCDD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bravo Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Northridge, CA
  • NPI 1487266730

  W-2 Managing Employee

  CMS ownership

Practitioners 1

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.

• Jaime Armando Martinez

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1821398116
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastside Family Medical Associates, Inc.

  dba Eastside Family Clinic

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1568656791
  Medicare reassignment NPD Authorized official
• Via Care Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1497001226
  Medicare reassignment NPD
• Yacoub Medical, Inc.

  dba Doctors Urgent Care Medical Group

  • General Practice Physician
  • Montebello, CA
  • NPI 1477698512
  Medicare reassignment NPD
• Via Care Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235577529
  NPD
• Ahmc Monterey Park Hospital LP

  dba Monterey Park Hospital

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  NPD (past)
• Alta Los Angeles Hospitals, Inc.

  dba Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922001809
  NPD (past)
• Eladh, LP

  dba East Los Angeles Doctors Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1417957473
  NPD (past)
• Regents Univ of Calif Los Angeles

  dba Resnick Neuropsychiatric Hospital at UCLA

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bravo Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Northridge, CA
  • NPI 1487266730
  Care Compare affiliation
• Midas Touch Home Health Services, Inc.

  • Home Health Agency
  • Northridge, CA
  • NPI 1891312971
  Care Compare affiliation
• S.N.E. Home Health Care Services

  • Community Health Clinic/Center
  • Whittier, CA
  • NPI 1881067734

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1023161684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S MEDNIK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221839",
            "telephone_number": "323-261-4706",
            "fax_number": "323-261-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S MEDNIK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90022",
            "telephone_number": "323-261-4706",
            "fax_number": "323-261-4124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Montebello Blvd",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906404730",
            "country_code": "US",
            "telephone_number": "323-726-0533",
            "fax_number": "323-726-0274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ENRIQUE",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G74790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G747490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emely Gonzalez
• Emely Abigail Gonzalez
• Emely Arleen Gonzalez
• Emily Gonzalez, PSW
• Emily Gonzalez
• Erika Gonzalez, RN
• Erika M Gonzalez, LEARNING CONSULTANT
• Evangelina Gonzalez
• Evelyn Gonzalez
• Evelyn Gonzalez

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.