Ricardo Orlando Gonzales, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

G59521 Issued in CA

Practice address

1127 13TH St
Modesto, CA 95354-0907

Phone

(209) 558-7454

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356453864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STANDIFORD AVE APT 109",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506548",
            "telephone_number": "209-530-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 13TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540907",
            "telephone_number": "209-558-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "RICARDO",
        "middle_name": "ORLANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G59521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Hope Gonzales, CATC. II
• Jasmine Gonzales
• Jessikka Gonzales
• Justin Gonzales Sr.
• Lindsey Joy Gonzales, RADT
• Sophia Gonzales
• Alva Citlali Gonzalez Bustos
• Lesley Gonzalez Hurtado
• Lizbeth Gonzalez Marquez, BHS I
• Monserrat Gonzalez Ruiz

• Child & Adolescent Psychiatry Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.