Active NPI
Edgar P Gonzalez
- Other Technician
- Temecula, CA
National Provider Identifier
1093352437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 31889 Calle Luz
Temecula, CA 92592-3926 - Phone
- (855) 832-6727
- NPI assigned
- Dec 4, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
31889 Calle Luz
Temecula, CA 92592-3926
Mailing address
4575 SE Dixie Hwy
Stuart, FL 34997-6826
Other practice location 1
13950 Milton Ave
Westminster, CA 92683-2900
Phone (855) 832-6727 ext. 1752
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Calexico | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1093352437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 SE DIXIE HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349976826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31889 CALLE LUZ",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923926",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [
{
"address_1": "13950 Milton Ave",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CA",
"postal_code": "926832900",
"country_code": "US",
"telephone_number": "855-832-6727 x1752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "EDGAR",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Calexico",
"affiliation": "N",
"endpointDescription": "no",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "31889 Calle Luz",
"city": "Temecula",
"state": "CA",
"country_code": "US",
"postal_code": "925923926",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.