Charles Gonzales MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHARLES GONZALES MD INC

Practice address

700 E Tahquitz Canyon Way Ste 5
Palm Springs, CA 92262-6765

Phone

(760) 318-4424

Fax

(760) 318-4247

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Charles Gonzales, MDNPI 1376664037

Title

Owner

Phone

(760) 318-4424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles David Gonzales, M.D.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1376664037
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1265998348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E TAHQUITZ CANYON WAY STE 5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626765",
            "telephone_number": "760-318-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E TAHQUITZ CANYON WAY STE 5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626765",
            "telephone_number": "760-318-4424",
            "fax_number": "760-318-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES GONZALES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-318-4424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Eunkwang Chang, DDS
• Jamie Junee Chang, PHARMD
• Jasmine B Chapa
• Frederick Jeff Chaplin-Durrie, AMFT
• Carizma Amila Chapman, MA, PHD, DMFT
• William Robert Chase, D.D.S.
• Anita Jo Chatigny, PH.D.
• Siddhartha Chatterjee, D.O.
• Crystal Stephanie Chavez-Jimenez, PA
• Evelyn Chavez

• Family Medicine Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.