Individual provider Active NPI

Maria Alejandra Gonzalez Ferrua, MD

  • Obstetrics & Gynecology Physician
  • West Valley City, UT
National Provider Identifier
1427549435
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12706108-1205 Issued in UT
Practice address
3336 S Pioneer Pkwy Ste 301
West Valley City, UT 84120-2073
Phone
(801) 964-3865
NPI assigned
May 24, 2018
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12706108-1205 UT Primary

Addresses

Primary practice location

3336 S Pioneer Pkwy Ste 301
West Valley City, UT 84120-2073

Mailing address

2701 SW 3Rd Ave Apt 504
Miami, FL 33129-2349
Phone (202) 315-8797

Other practice location 1

3336 S 4155 W
Ste 301
West Valley City, UT 84120
Phone (801) 964-3865

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220621001876 UT Practitioner - Obstetrics/Gynecology 6002295128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Gynecological and Obstetrical Clinic IncGroup PAC ID 8325946700, 5 clinicians

Practice addresses (Care Compare)

12842 S 3600
Suite 200
Riverton, UT 84065-6853
Phone (801) 285-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince Aug 1, 2022 Accepting new patients
Western Gynecological and Obstetrical Clinic, Inc. Obstetrics & Gynecology CurrentSince Jun 1, 2025 Accepting new patients

Locations

12842 S 3600 W
Ste 200
Riverton, UT 84065
Phone (801) 285-4800

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3336 S Pioneer Pkwy
Ste 301
West Valley City, UT 84120
Phone (801) 964-3865

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1427549435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SW 3RD AVE APT 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292349",
            "telephone_number": "202-315-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 S PIONEER PKWY STE 301",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202073",
            "telephone_number": "801-964-3865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3336 S 4155 W",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "84120",
            "country_code": "US",
            "telephone_number": "801-964-3865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ FERRUA",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "12706108-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.