Maria Susana Espino Gonzales

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Practice address

101 E Beverly Blvd Ste 201
Montebello, CA 90640-4315

Phone

(323) 722-5163

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sonic Wave, LLC

  • Physiological Laboratory
  • Lancaster, CA
  • NPI 1902659972
  NPD Authorized official
• Wuu Shyong Wu M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1861498107
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1043738339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44014 KIRKLAND AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353631",
            "telephone_number": "626-497-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404315",
            "telephone_number": "323-722-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARIA SUSANA",
        "middle_name": "ESPINO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": "FAC00083950",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glowing Smile Hospice
• Katherine Angela Gochingco, FNP-C
• Golden Arches Podiatry, Inc.
• Golden Heart Nemt Transportation LLC
• Golden Manor Retirement Center
• Paul Gonzales
• Monique Alexandria Gonzalez-Johnson, MD
• Alexiss Gonzalez, BA
• Andrew Gonzalez
• Andy Gonzalez

• All providers in Montebello, CA
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.