Active NPI
Olga Lydia Gonzalez, MD
- Pediatrics Physician
- Yuba City, CA
National Provider Identifier
1063510063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G077811
- Practice address
- 1231 Plumas St
Yuba City, CA 95991-3410 - Phone
- (530) 751-8454
- Fax
- (530) 751-8456
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G077811 | CA | Primary |
Addresses
Primary practice location
1231 Plumas St
Yuba City, CA 95991-3410
Mailing address
2145 5TH Ave
Oroville, CA 95965-5870
Phone (530) 751-8454
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G077811 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feather River Tribal Health Inc | Current | Accepting new patients | |
| Feather River Tribal Health Inc | Past | Accepting new patients | |
| Rideout Memorial Hospital | Past | Accepting new patients |
Locations
2145 5th Ave
Oroville, CA 95965
Phone (530) 534-3793
555 W Onstott Rd
Yuba City, CA 95993
Phone (530) 751-8454
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Oroville, CA
- NPI 1629130240
-
- Community/Retail Pharmacy
- Oroville, CA
- NPI 1760495485
-
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1063510063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 5TH AVE",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959655870",
"telephone_number": "530-751-8454",
"fax_number": "530-751-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 PLUMAS ST",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913410",
"telephone_number": "530-751-8454",
"fax_number": "530-751-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "OLGA",
"middle_name": "LYDIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G077811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.