Active NPI
Francisco Gonzalez, PA
- Medical Physician Assistant
- Winter Garden, FL
National Provider Identifier
1366638546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 9100627
- Practice address
- 1002 S Dillard St Ste 102
Winter Garden, FL 34787-3991 - Phone
- (407) 877-3577
- NPI assigned
- Sep 20, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9100627 | FL | Primary |
Addresses
Primary practice location
1002 S Dillard St Ste 102
Winter Garden, FL 34787-3991
Mailing address
1002 S. Dillard Street
Winter Garden, FL 34787
Phone (407) 877-3577
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169181 | Other | FL | FELLOW SHIP IN PROGRESS METABOLIC AND NUTRITIONAL MEDICINE |
| 04166641 | Other | FL | EDUCATIONAL COMMISSION FOR FOREIGN MEDICAL GRADUATE CERTIFICATION |
| 539442194 | Other | FL | AMERICAN DIABETES ASSOCIATION |
| ME26402800100 | Other | FL | AMA |
| 9100627 | Other | FL | PA, LICENSE |
Other names 1
- Francisco Gonzalez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9100627 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osteoporosis Centers of America Inc | Past | Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | Past | Accepting new patients | |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Winter Garden, FL
- NPI 1184710295
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
-
- Medical Specialty Clinic/Center
- Winter Garden, FL
- NPI 1134236219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1366638546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S. DILLARD STREET",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "34787",
"telephone_number": "407-877-3577",
"fax_number": "407-877-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S DILLARD ST STE 102",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873991",
"telephone_number": "407-877-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "FRANCISCO",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "9100627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FELLOW SHIP IN PROGRESS METABOLIC AND NUTRITIONAL MEDICINE",
"identifier": "169181",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATIONAL COMMISSION FOR FOREIGN MEDICAL GRADUATE CERTIFICATION",
"identifier": "04166641",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DIABETES ASSOCIATION",
"identifier": "539442194",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMA",
"identifier": "ME26402800100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA, LICENSE",
"identifier": "9100627",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRANCISCO",
"last_name": "GONZALEZ",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.