Active NPI
April Azucena Gonzalez, PA-C
- Physician Assistant
- Kentfield, CA
National Provider Identifier
1366867954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51403
- Practice address
- 1125 Sir Francis Drake Blvd
Suite a
Kentfield, CA 94904-1418 - Phone
- (415) 485-3541
- NPI assigned
- Feb 19, 2014
- Last updated
- May 6, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51403 | CA | Primary |
Addresses
Primary practice location
1125 Sir Francis Drake Blvd
Suite a
Kentfield, CA 94904-1418
Mailing address
1125 Sir Francis Drake Blvd
Suite a
Kentfield, CA 94904-1418
Phone (415) 485-3541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51403 | Other | CA | PHYSICIAN ASSISTANT BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51403 | CA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1366867954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 SIR FRANCIS DRAKE BLVD",
"address_2": "SUITE A",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "949041418",
"telephone_number": "415-485-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 SIR FRANCIS DRAKE BLVD",
"address_2": "SUITE A",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "949041418",
"telephone_number": "415-485-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "APRIL",
"middle_name": "AZUCENA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT BOARD",
"identifier": "51403",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kentfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.