Active NPI
Isabel Marie Algaze-Gonzalez, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 261762
- Practice address
- 55 Fruit St
MGH, Emergency Medicine Department
Boston, MA 02114-2621 - Phone
- (614) 724-4100
- NPI assigned
- Jul 9, 2012
- Last updated
- Feb 9, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 261762 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
MGH, Emergency Medicine Department
Boston, MA 02114-2621
Mailing address
55 Fruit St
MGH, Emergency Medicine Department
Boston, MA 02114-2621
Phone (614) 724-4100
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Puerto Rico School of Medicine, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Falls Canyon Rd
Avalon, CA 90704-2990
Phone (310) 510-0700
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of | Current | Accepting new patients | |
| Continuem | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Continuem | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
100 Falls Canyon Rd
Avalon, CA 90704
Phone (310) 510-0700
19200 Jamboree Rd
Ste 1500
Irvine, CA 92612
6430 South St
Lakewood, CA 90713
Phone (310) 210-8895
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 1
Orange, CA 92868
Phone (714) 456-2911
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844
- isabel.algaze.2@14021.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Emergency Medicine Faculty Group
- Emergency Medicine Physician
- Orange, CA
- NPI 1154379394
-
dba Catalina Island Health
- Critical Access Hospital
- Avalon, CA
- NPI 1346250347
-
- Urgent Care Clinic/Center
- Lakewood, CA
- NPI 1336716489
-
- Urgent Care Clinic/Center
- Lakewood, CA
- NPI 1578228987
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catalina Island Health
- Critical Access Hospital
- Avalon, CA
- NPI 1346250347
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1285999060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "MGH, EMERGENCY MEDICINE DEPARTMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "614-724-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "MGH, EMERGENCY MEDICINE DEPARTMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "614-724-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALGAZE-GONZALEZ",
"first_name": "ISABEL",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MA",
"license": "261762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.