Individual provider Active NPI

Ezequiel Gonzalez, FNP

  • Nurse Practitioner
  • Tulare, CA
National Provider Identifier
1215456017
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007163 Issued in CA
Practice address
869 N Cherry St
Tulare, CA 93274-2207
Phone
(559) 688-0821
NPI assigned
Sep 12, 2017
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95007163 CA Primary

Addresses

Primary practice location

869 N Cherry St
Tulare, CA 93274-2207

Mailing address

3735 E Belmont Ave
Visalia, CA 93292-3563
Phone (559) 429-2869

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219001517 CA Practitioner - Nurse Practitioner 0648515627 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

212 Coffee Rd
Suite 100
Bakersfield, CA 93309-1273
Phone (661) 885-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Transamerica Medical Group Inc. Current Accepting new patients
Cherry Clinic Current Accepting new patients
Universal Care CurrentSince Apr 15, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Transamerica Medical Group Inc. CurrentSince Nov 4, 2018 Accepting new patients
Cep America - California CurrentSince Nov 1, 2018 Accepting new patients
Cep America-California CurrentSince Nov 1, 2018 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 25, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 25, 2024 Accepting new patients

Locations

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

1004 14th Ave
Delano, CA 93215
Phone (559) 295-8517

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

1581 Hillman St
Tulare, CA 93274
Phone (559) 687-5091

810 N Cherry St
Tulare, CA 93274
Phone (559) 685-0407

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

Interoperability endpoints

  • Direct secure messaging: ezequiel.gonzalez.1@27520.direct.athenahealth.com
  • Direct secure messaging: ezequiel.gonzalez.p1@direct.trihci.nextgenshare.com
  • Direct secure messaging: ezequiel.gonzalez.p4@direct.vht.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1215456017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 E BELMONT AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923563",
            "telephone_number": "559-429-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742207",
            "telephone_number": "559-688-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EZEQUIEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.