Gonzales Medical Center, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

545778 Issued in CA

Legal business name

GONZALES MEDICAL CENTER, INC

Doing business as

Gonzales Primary Care

Practice address

18 Fourth Street
Gonzales, CA 93926-0808

Phone

(831) 975-3124

Fax

(831) 305-6400

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ignacio Guzman, M.D.NPI 1770895724

Title

Medical Director

Phone

(559) 892-4500

Specialties & licenses 1

Addresses

Other names 1

• GONZALES PRIMARY CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ignacio Guzman, MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1770895724
  Medicare reassignment Care Compare group Authorized official
• Luz Pacheco Garcia, PAC

  • Medical Physician Assistant
  • Salinas, CA
  • NPI 1740575687
  Medicare reassignment Care Compare group
• Jaeho Joshua Lee, PA-C

  • Physician Assistant
  • Gonzales, CA
  • NPI 1013752096
  NPD
• Aaron McCollum, PA-C

  • Physician Assistant
  • Longmeadow, MA
  • NPI 1780429738

  Single Specialty

  NPD

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1184176158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676",
            "city": "GONZALES",
            "state": "CA",
            "postal_code": "939260676",
            "telephone_number": "831-975-3124",
            "fax_number": "831-305-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FOURTH STREET",
            "city": "GONZALES",
            "state": "CA",
            "postal_code": "939260808",
            "telephone_number": "831-975-3124",
            "fax_number": "831-305-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALES MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-892-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "545778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GONZALES PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Fragoso, PA-C
• David H Freeman, PA/FNP MPAS
• Susan Ganzhorn, PA
• Bertha Garcia
• Erika Beatriz Garcia, MD
• Gonzales Medical Group Inc
• Gonzales Unified School District
• Robyn Adela Guzik, ASW
• Lizbeth Guzman-Palacios
• Maria Rashel Guzman

• Primary Care Clinic/Center in Gonzales, CA
• Providers in Gonzales, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.