Individual provider Active NPI

Kelly De Gonzales, M.D.

  • Surgery Physician
  • Gilroy, CA
National Provider Identifier
1184899874
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A109752 Issued in CA
Practice address
9400 N Name Uno
Gilroy, CA 95020-3528
Phone
(408) 852-4830
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AH19180185639 MA
Surgery Physician 208600000X 258365 MA
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X A109752 CA Primary

Addresses

Primary practice location

9400 N Name Uno
Gilroy, CA 95020-3528

Mailing address

18550 De Paul Dr Ste 203
Morgan Hill, CA 95037-2911
Phone (408) 852-4830

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151130000987 CA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4688805732 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Boston University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A109752CAMDSurgery Physician
258365MAMDSurgery Physician
AH19180185639MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jul 10, 2024 Accepting new patients
County of Santa Clara CurrentSince Jul 10, 2024 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Apr 1, 2020 Accepting new patients
County of Santa Clara Current Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jan 1, 2018 Accepting new patients
County of Santa Clara CurrentSince Jul 10, 2024 Accepting new patients
County of Santa Clara CurrentSince Jul 10, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8695

18550 De Paul Dr
Ste 203
Morgan Hill, CA 95037
Phone (408) 779-2009

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

150 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 769-5340

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

750 S Bascom Ave
#1112
San Jose, CA 95128

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

Interoperability endpoints

  • Direct secure messaging: kgonzales208871@santaclaravalley.direct-ci.net

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1184899874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 DE PAUL DR STE 203",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372911",
            "telephone_number": "408-852-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 N NAME UNO",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203528",
            "telephone_number": "408-852-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "KELLY",
        "middle_name": "DE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "AH19180185639",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "258365",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A109752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.