NPIMap

Organization Active NPI

Werner Gonzalez Medical Group Inc

  • Family Medicine Physician
  • La Quinta, CA
National Provider Identifier
1043410707
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WERNER GONZALEZ MEDICAL GROUP INC
Practice address
47250 Washington St Ste a
La Quinta, CA 92253-2105
Phone
(760) 771-9437
Fax
(760) 564-8581
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Ms. Arturo Ernesto Gonzalez
Title
Office Manager
Phone
(760) 771-9437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

47250 Washington St Ste a
La Quinta, CA 92253-2105

Mailing address

47250 Washington St Ste a
La Quinta, CA 92253-2105
Phone (760) 771-9437

Other identifiers 3

IdentifierTypeStateIssuer
P00133277OtherCARAILROAD PIN #
CJ881OtherCARAILROAD PROV #
GR0071340MedicaidCA

National Provider Directory

National Provider Directory

Locations

47250 Washington St
Ste A
La Quinta, CA 92253
Phone (760) 771-9437

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1043410707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47250 WASHINGTON ST STE A",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532105",
            "telephone_number": "760-771-9437",
            "fax_number": "760-564-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47250 WASHINGTON ST STE A",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532105",
            "telephone_number": "760-771-9437",
            "fax_number": "760-564-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERNER GONZALEZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-771-9437",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN #",
            "identifier": "P00133277",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROV #",
            "identifier": "CJ881",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.