Jonard Ylarde Gonzales

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

813530 Issued in NV

Practice address

6240 N Durango Dr Ste 120
Las Vegas, NV 89149-3941

Phone

(954) 923-7440

Fax

(954) 923-1299

NPI assigned

Sep 14, 2018

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Male

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 NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diola Elite Wound Care PLLCGroup PAC ID 1052823101, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Diola Elite Wound Care PLLC

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1912704586

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Satish K Sharma MD PC

  dba Advanced Pain Management Center

  • Pain Medicine Physician
  • Henderson, NV
  • NPI 1881033900

  Single Specialty

  Medicare reassignment NPD
• Universal Medical Alliance Inc.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1659995090

  Single Specialty

  Medicare reassignment NPD
• WT Health of Nevada LLC

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1639961931

  Single Specialty

  Medicare reassignment NPD
• Minghsun Liu MD PC

  dba Woundtech of Nevada

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1982002283
  Medicare reassignment
• Carelink Medical Group of Nevada LLC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1780001347

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1164905121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8432 CAMBRIA CELLARS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397164",
            "telephone_number": "702-493-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 N DURANGO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493941",
            "telephone_number": "954-923-7440",
            "fax_number": "954-923-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JONARD",
        "middle_name": "YLARDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "813530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250005414",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elyse Marie Gonzales
• Emma Gonzales
• Gary Gonzales
• Jan Ina Lamberte Gonzales, DNP, APRN, PMHNP-BC
• Javaun Gonzales
• Jose H. Gonzales, M.D.
• Karlo Francis Gonzales
• Kim Gonzales
• Laura Gonzales
• Lorena Salazar Gonzales

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.