Faustino M. Gonzalez, MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

23659 Issued in AZ

Legal business name

FAUSTINO M. GONZALEZ, MD PC

Practice address

11811 N. Tatum Blvd
Suite 3031
Phoenix, AZ 85028

Phone

(602) 529-6422

Fax

(602) 529-6433

NPI assigned

Sep 19, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Faustino M Gonzalez, MD

Title

Physician

Phone

(602) 529-6422

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Faustino M. Gonzalez, MD PLLC Other name

Locations

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1154840304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 N 85TH PLACE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "602-529-6422",
            "fax_number": "602-529-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 N. TATUM BLVD",
            "address_2": "SUITE 3031",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-529-6422",
            "fax_number": "602-529-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTINO M. GONZALEZ, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FAUSTINO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-529-6422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "23659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043238801",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faustino M. Gonzalez, MD PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Lorene Faulkinbury, LPN
• Lisa Marie Faure
• Tiffany Fauss, DNP, FNP-C
• Matthew Faussette
• Bethany Faust, MD
• Neal Nelson Faux, MD
• Jacqueline Favaro
• Susan C Favaro, LCSW
• Carisa Favela, LPC
• Raul Favela, DDS

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.