Active NPI
Gonzalo Urbano, M.D.
- Internal Medicine Physician
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 180174
- Practice address
- 2740 Herndon Ave
Clovis, CA 93611-6813 - Phone
- (559) 299-2578
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 6, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 180174 | NY | Primary |
Addresses
Primary practice location
2740 Herndon Ave
Clovis, CA 93611-6813
Mailing address
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-2578
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149379 | Other | NY | WELLCARE HEALTH PLAN |
| 180174-AIF | Other | NY | HEALTHFIRST |
| 01237998 | Medicaid | NY | |
| 040426028328 | Other | NY | FIDELIS CARE |
| 100087520001 | Other | NY | UHC MEDICAID FHP |
| 000330940101 | Other | NY | HEALTH PLUS |
| 180174P | Other | NY | HEALTHCARE PARTNERS, INC. MEDICARE AND MEDICAID |
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
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-4264
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Indian Health, Inc. | Current | Accepting new patients | |
| Central Valley Indian Health, Inc | Internal Medicine | Current | Accepting new patients |
| Central Valley Indian Health Inc | Current | Accepting new patients | |
| Central Valley Indian Health Inc | Past | Accepting new patients |
Locations
2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608
16835 Alkali Dr
Ste M
Lemoore, CA 93245
Phone (559) 924-0460
29369 Auberry Rd
Ste 102
Prather, CA 93651
Phone (559) 855-5390
Interoperability endpoints
- gurbano1040318@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- Clinic/Center
- Prather, CA
- NPI 1902025059
-
- Clinic/Center
- Clovis, CA
- NPI 1235670787
-
- Family Medicine Physician
- Lemoore, CA
- NPI 1215157375
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Clovis Community Medical Center
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1366538340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116813",
"telephone_number": "559-299-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116813",
"telephone_number": "559-299-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANO",
"first_name": "GONZALO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2024-08-06",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "180174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE HEALTH PLAN",
"identifier": "149379",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "180174-AIF",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01237998",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE",
"identifier": "040426028328",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MEDICAID FHP",
"identifier": "100087520001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "000330940101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PARTNERS, INC. MEDICARE AND MEDICAID",
"identifier": "180174P",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- Unlimited Caring Group, Inc. (Sunshine Home Care)
- Caroline Theresa Urbanek
- Elizabeth Urbano, MSW; LCSW
- Eleanor Octavia Uribe, L.C.S.W., P.P.S.C.
- Esther Ogechi Uwajeh
- Chituru Uwaoma, DNP
- Brittney Uzomah, LVN
- Surya Reddy Vaadyala, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.