Active NPI
Daniel Gonzalez
- Primary Care Clinic/Center
- Cypress, TX
National Provider Identifier
1285223958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- PENDING
- Practice address
- 13407 Rifleman Cir
Cypress, TX 77429-2628 - Phone
- (956) 222-0555
- NPI assigned
- Jan 15, 2021
- Last updated
- Mar 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | PENDING | TX | Primary |
Addresses
Primary practice location
13407 Rifleman Cir
Cypress, TX 77429-2628
Mailing address
PO Box 309
Mission, TX 78573-0006
Phone (956) 897-1804
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | phoenixphc@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1285223958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "MISSION",
"state": "TX",
"postal_code": "785730006",
"telephone_number": "956-897-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13407 RIFLEMAN CIR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774292628",
"telephone_number": "956-222-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-15",
"last_updated": "2021-03-12",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "phoenixphc@outlook.com",
"affiliation": "N",
"endpointDescription": "Business email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Business email address",
"address_1": "13407 Rifleman Cir",
"city": "Cypress",
"state": "TX",
"country_code": "US",
"postal_code": "774292628",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.