Carmen Protesta Gonzales-Nate, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A49248 Issued in CA

Practice address

11660 Emerald Dr
Loma Linda, CA 92354-4140

Phone

(909) 799-6343

Fax

(909) 799-6343

NPI assigned

Dec 28, 2006

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063578607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 EMERALD DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544140",
            "telephone_number": "909-799-6343",
            "fax_number": "909-799-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 EMERALD DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544140",
            "telephone_number": "909-799-6343",
            "fax_number": "909-799-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-NATE",
        "first_name": "CARMEN",
        "middle_name": "PROTESTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A49248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A492481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Eduardo Gomez, M.D.
• Nephtali Ruiz Gomez, M.D.
• Roseann Merie Gomez
• Gillian Gomulka, RN
• Eduardo Juan Gonzaga Jr., M.D.
• Mary Christine Deasis Gonzales, MSN,FNP-C
• Athenna Gonzalez
• Danessa Gonzalez
• Jody Michelle Gonzalez, PHARMD
• Julia Gonzalez

• Psychiatry Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.