Edward Gonzales

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95033367 Issued in CA

Practice address

21300 Sherman Way Ste 3
Canoga Park, CA 91303-3672

Phone

(818) 900-2478

NPI assigned

Dec 21, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Affordable Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Canoga Park, CA
  • NPI 1992330690
  NPD

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1265240352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 COZYCROFT AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 SHERMAN WAY STE 3",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033672",
            "telephone_number": "818-900-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Gomez
• Claudia Gomez
• George Gomez
• Valerie Gomez
• Emely Gonsalez
• Jasmine Gonzales
• Kiara Gonzales
• Alejandra Gonzalez Arriaga
• Jose Gonzalez Flores
• Lizbeth Gonzalez Gervacio

• Family Nurse Practitioner in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.