Rommel Gonzales, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A122760 Issued in CA

Practice address

508 S. Alvarado St.
Los Angeles, CA 90057

Phone

(818) 500-5586

NPI assigned

Oct 30, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Temple University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritana Medical Clinic,Inc.Group PAC ID 0749370989, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Rommel Gonzales Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1275965105
  Medicare reassignment NPD Authorized official
• Samaritana Medical Clinic,Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1073706289
  Medicare reassignment Care Compare group NPD
• San Judas Tadeo Medical Group, Inc.

  • General Practice Physician
  • Inglewood, CA
  • NPI 1417558842

  Family Medicine

  NPD
• Cha Hollywood Medical Center, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  NPD (past)
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  NPD (past)
• Samaritana Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • La Puente, CA
  • NPI 1073194429
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1386998227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S. ALVARADO ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S. ALVARADO ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "818-500-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ROMMEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A122760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "A12276023",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A122760W3",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitzi Michelle Gonzales, PH.D.
• Nikko Rosca Gonzales
• Rachelle Ann Lopez Gonzales, MD
• Raul Gonzales
• Richard Joseph Gonzales Sr., PHYSICIAN ASSISTANT
• Sadie Gonzales
• Samuel Gonzales Jr., BA
• Savannah Marie Gonzales
• Sharnyle Gonzales
• Tasha Gonzales, NNP-BC

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.

Verify at the official NPI Registry.