Jose Manuel Gonzalez-Diaz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A41311 Issued in CA

Practice address

13500 Van Nuys Blvd
Pacoima, CA 91331

Phone

(818) 896-2999

Fax

(818) 896-8449

NPI assigned

Sep 27, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J. Manuel Gonzalez-Diaz M.D.

  • Clinical Medical Laboratory
  • Pacoima, CA
  • NPI 1083802573
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205927415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-896-2999",
            "fax_number": "818-896-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-896-2999",
            "fax_number": "818-896-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-DIAZ",
        "first_name": "JOSE MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Gomez
• Giselle Gomez
• Joe E Gomez
• Victor Hugo Gone
• Denise Gonzales
• Bernice Gonzalez
• Brandon Gonzalez
• Claudia Janet Gonzalez, BA
• Graciela Gonzalez, LCSW
• Leonardo Gonzalez

• General Practice Physician in Pacoima, CA
• Providers in Pacoima, CA by specialty
• General Practice 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.