Richard Gonzales, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A72193 Issued in CA

Practice address

8585 Knott Ave
#101
Buena Park, CA 90620

Phone

(714) 821-8588

Fax

(714) 821-4482

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184685893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 KNOTT AVE",
            "address_2": "#101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90620",
            "telephone_number": "714-821-8588",
            "fax_number": "714-821-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 KNOTT AVE",
            "address_2": "#101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90620",
            "telephone_number": "714-821-8588",
            "fax_number": "714-821-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A721930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Brenda Ginsburg, RPH
• Gocare Homes, Inc.
• Chad Wesley Goche I
• Maria Elena Gomez, RN
• Susana Gomez, OTR/L
• Bernarda Brenda Gonzalez
• Edgardo Gonzalez, M.D
• Goodman Maa DDS
• Claire Goodman, RN
• Bahram Goshtasbi, D.C.

• Internal Medicine Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.