Active NPI
Gloria Aimee Gonzalez, CNM
- Advanced Practice Midwife
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 236136
- Practice address
- 2051 John Jones Rd
Davis, CA 95616-9701 - Phone
- (530) 758-2060
- Fax
- (530) 758-8490
- NPI assigned
- Oct 23, 2020
- Last updated
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 236136 | CA | Primary |
Addresses
Primary practice location
2051 John Jones Rd
Davis, CA 95616-9701
Mailing address
1820 E Gum Ave
Woodland, CA 95776-9390
Phone (530) 219-6614
Other practice location 1
215 W Beamer St
Woodland, CA 95695-2510
Phone (530) 405-2900
Other practice location 2
500 Jefferson Blvd Ste B180
West Sacramento, CA 95605-2394
Phone (916) 403-2900
Other names 1
- Gloria Aimee Leyva Gonzalez
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients |
Locations
2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498
500 Jefferson Blvd
Ste 180
West Sacramento, CA 95605
Phone (916) 403-2900
500 Jefferson Blvd
Ste B180
West Sacramento, CA 95605
Phone (916) 375-6400
215 W Beamer St
Woodland, CA 95695
Phone (530) 405-2800
Interoperability endpoints
- ggonzalez675678@direct.ochin.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1881330579
-
dba Sutter Davis Hospital
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1093314601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 E GUM AVE",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957769390",
"telephone_number": "530-219-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 JOHN JONES RD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956169701",
"telephone_number": "530-758-2060",
"fax_number": "530-758-8490"
}
],
"practiceLocations": [
{
"address_1": "215 W Beamer St",
"address_purpose": "LOCATION",
"city": "Woodland",
"state": "CA",
"postal_code": "956952510",
"country_code": "US",
"telephone_number": "530-405-2900",
"fax_number": "530-204-5255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Jefferson Blvd Ste B180",
"address_purpose": "LOCATION",
"city": "West Sacramento",
"state": "CA",
"postal_code": "956052394",
"country_code": "US",
"telephone_number": "916-403-2900",
"fax_number": "530-204-5248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GLORIA",
"middle_name": "AIMEE",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "236136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "LEYVA GONZALEZ",
"middle_name": "AIMEE",
"credential": "CNM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.