Patrick D. Gonzales, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A506690 Issued in CA

Practice address

29798 Haun Rd
Suite 106
Sun City, CA 92586-6541

Phone

(951) 301-3588

Fax

(951) 301-4309

NPI assigned

Jun 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patrick and Edivina Gonzales Medical Group IncGroup PAC ID 5991767873, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
• Valley Care Home Health Services, Inc Home health agency, Temecula, CA, CCN 058146
• Angelicare Home Health Inc Home health agency, Chino, CA, CCN 059316
• Anthem Hospice Providers Inc Hospice, Colton, CA, CCN 751753

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: patrick.gonzales.p14@direct.kmsm.nextgenshare.com

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.

• Patrick & Edivina Gonzales Medical Group Inc

  • Internal Medicine Physician
  • Menifee, CA
  • NPI 1619905080
  Medicare reassignment Care Compare group NPD Authorized official
• Menifee Valley Medical Center

  • General Acute Care Hospital
  • Sun City, CA
  • NPI 1881781482
  NPD (past)

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

• Angelicare Home Health Inc

  • Home Health Agency
  • Chino, CA
  • NPI 1578896304
  Care Compare affiliation
• Anthem Hospice Providers, Inc.

  • Community Based Hospice Care Agency
  • Upland, CA
  • NPI 1295168193
  Care Compare affiliation
• Mission Home Health of San Diego LLC

  • Home Health Agency
  • San Diego, CA
  • NPI 1063726628
  Care Compare affiliation
• Valley Care Home Health Services, Inc.

  • Home Health Agency
  • Temecula, CA
  • NPI 1205839172
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194751289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 106",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-3588",
            "fax_number": "951-301-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 106",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-3588",
            "fax_number": "951-301-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "PATRICK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A506690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Marie Garcia
• Garden of Friends Foundation
• Ghazal Dental Corporation (Menifee Dental Group)
• Patricia Pebbles Gminder, BCBA
• Edivina B. Gonzales, M.D.
• Marlyn Gonzalez
• Guiding Behavior Outcomes LLC
• Amy Guilbault, DPT
• H. Pourshirazi DMD, Inc (Sun City Dentistry)
• Nicole Hanley, FNP-BC

• Internal Medicine Physician in Sun City, CA
• Providers in Sun City, 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.
• 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.