Mario H Gonzalez MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A41462 Issued in CA

Legal business name

MARIO H GONZALEZ MD INC

Practice address

7131 N 11TH St
Suite 101
Fresno, CA 93720-3375

Phone

(559) 435-0717

Fax

(559) 435-9105

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Mario H Gonzalez, M.D.

Title

President

Phone

(559) 435-0717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1326337833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 N 11TH ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203375",
            "telephone_number": "559-435-0717",
            "fax_number": "559-435-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 N 11TH ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203375",
            "telephone_number": "559-435-0717",
            "fax_number": "559-435-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO H GONZALEZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-435-0717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A41462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Jazmin Marin
• Maria Del Rosario Marin
• Michelle Marin, MSW, LCSW
• Phillip Marin
• Amber Ann Marinez, LCSW
• Angie Nicole Mariscal
• Facundo Maritano Jr.
• Lydia Jane Marizette
• Monica Marizette, CMT
• Marjaree Mason Center

• Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.