Active NPI
Antigone Gonis, MD
- Family Medicine Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A177615
- Practice address
- 800 N Main St
Santa Ana, CA 92701-3576 - Phone
- (714) 880-7812
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A177615 | CA | Primary |
Addresses
Primary practice location
800 N Main St
Santa Ana, CA 92701-3576
Mailing address
20151 SW Birch St Ste 100
Newport Beach, CA 92660-1794
Phone (949) 270-2100
Other practice location 1
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 880-7812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tulane University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1014 N Broadway
Santa Ana, CA 92701-3408
Phone (949) 270-2160
1550 Superior Ave
Costa Mesa, CA 92627-3653
Phone (949) 270-2100
27725 Santa Margarita Pkwy
Suite 101
Mission Viejo, CA 92691-6706
Phone (949) 270-2100
800 N Main St
Santa Ana, CA 92701-3576
Phone (714) 456-6324
Hospital & facility affiliations
- Uci Health-Orange
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A177615 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Current | Accepting new patients | |
| University of California Irvine | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| University of California Irvine | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
1550 Superior Ave
Costa Mesa, CA 92627
Phone (949) 650-0186
20151 SW Birch St
Ste 100
Newport Beach, CA 92660
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324
1014 N Broadway
Santa Ana, CA 92701
Phone (949) 270-2132
111 E 210th St
Bronx, NY 10467
100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1508073685
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598790529
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1144717778
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1669258612
-
- Pharmacy
- Irvine, CA
- NPI 1669344339
-
- Federally Qualified Health Center (FQHC)
- Santa Ana, CA
- NPI 1851325906
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1366902199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20151 SW BIRCH ST STE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601794",
"telephone_number": "949-270-2100",
"fax_number": "949-650-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N MAIN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927013576",
"telephone_number": "714-880-7812"
}
],
"practiceLocations": [
{
"address_1": "101 The City Dr S",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-880-7812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONIS",
"first_name": "ANTIGONE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A177615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.