Michelle Gonzales, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A77417 Issued in CA

Practice address

3601 Vista Way
Suite 201
Oceanside, CA 92056-4559

Phone

(760) 639-1204

Fax

(760) 630-1252

NPI assigned

Jul 14, 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

Specialty

Family Practice

Education

Medical College of Wisconsin, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

Procedures performed for Medicare patients

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/ADABAA/Endpoint/ADABAA

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.

• Michelle Gonzales MD PC

  • Family Medicine Physician
  • Oceanside, CA
  • NPI 1982856290
  Medicare reassignment NPD Authorized official
• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  NPD (past)

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

• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  Care Compare affiliation

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1073539136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY",
            "address_2": "SUITE 201",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564559",
            "telephone_number": "760-639-1204",
            "fax_number": "760-630-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY",
            "address_2": "SUITE 201",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564559",
            "telephone_number": "760-639-1204",
            "fax_number": "760-630-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A77417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A77417",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graciela Gomez
• Priscilla Gomez, LVN
• Tali Gomez
• Larry Joseph Gonsalves
• Melanie M Gonzales
• Natalie Maria Grandi Gonzales, FNP- BC, MSN, BSN
• Amairani Gonzalez
• Ashley N Gonzalez
• Becky Lou Gonzalez, BIRTH & LABOR DOULA
• Elena Paula Gurrola Gonzalez, LMFT

• Family Medicine Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.
• 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.