Organization Active NPI

Joshua R Gonzalez M D Inc

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1407379035
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JOSHUA R GONZALEZ M D INC
Practice address
5757 Wilshire Blvd Ste 475
Los Angeles, CA 90036-3632
Phone
(233) 607-2895
Fax
(233) 607-2896
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Karla Escobar
Title
Office Manager
Phone
(323) 607-2895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 475
Los Angeles, CA 90036-3632

Mailing address

5901 W Olympic Blvd Ste 303
Los Angeles, CA 90036-4664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170818001635 CA Part B Supplier - Clinic/Group Practice 7315219763 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

5757 Wilshire Blvd
Ste 475
Los Angeles, CA 90036
Phone (323) 607-2895

5901 W Olympic Blvd
Ste 303
Los Angeles, CA 90036
Phone (323) 607-2895

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1407379035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 475",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363632",
            "telephone_number": "233-607-2895",
            "fax_number": "233-607-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA R GONZALEZ M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-607-2895"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.