Active NPI
Bernadette Louise Gonsalves, P.A.
- Physician Assistant
- Santa Maria, CA
National Provider Identifier
1083631790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16394
- Practice address
- 2115 Centerpointe Pkwy
Santa Maria, CA 93455-1334 - Phone
- (805) 346-7230
- Fax
- (805) 346-7272
- NPI assigned
- Jul 17, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16394 | CA | Primary |
Addresses
Primary practice location
2115 Centerpointe Pkwy
Santa Maria, CA 93455-1334
Mailing address
300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA16394 | Other | CA | MED LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1083631790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N SAN ANTONIO RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101316",
"telephone_number": "805-681-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 CENTERPOINTE PKWY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934551334",
"telephone_number": "805-346-7230",
"fax_number": "805-346-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSALVES",
"first_name": "BERNADETTE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA16394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED LICENSE",
"identifier": "PA16394",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.