Individual provider Active NPI

Calle A Gonzales, M.D.

  • Hospitalist Physician
  • Moses Lake, WA
National Provider Identifier
1447360359
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD61092894 Issued in WA
Practice address
2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone
(509) 765-5606
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MED-PHYS-LIC-103519 MT
Pediatrics Physician 208000000X 16068 NH
Pediatric Critical Care Medicine Physician 2080P0203X MD61092894 WA
Hospitalist Physician 208M00000X MD61092894 WA Primary
Pediatrics Physician 208000000X MD61092894 WA
Pediatric Critical Care Medicine Physician 2080P0203X MD11372 HI
Pediatrics Physician 208000000X G-71741 CA
Pediatric Critical Care Medicine Physician 2080P0203X 16068 NH

Addresses

Primary practice location

2000 S Clover Dr
Moses Lake, WA 98837-4417

Mailing address

1616 S Pioneer Way
Moses Lake, WA 98837-2487
Phone (509) 793-9715

Other practice location 1

1550 S Pioneer Way Ste 200
Moses Lake, WA 98837-4614
Phone (509) 793-9787

Other practice location 2

317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-3602

Other identifiers 2

IdentifierTypeStateIssuer
MD34321MedicaidAK
2168392MedicaidWA

Other names 1

  • Calle Ann Gonzales-Bagdon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgonzalesbagdon6939@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110314000194 HI Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 5991987919 Reassigns benefits to 1 organization
I20210427002669 WA Practitioner - Pediatric Medicine 5991987919 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3432AKMDAddiction (Substance Use Disorder) Counselor
G-71741CAMDPediatrics Physician
MED-PHYS-LIC-103519MTMDPediatrics Physician
MD11372HIMDPediatric Critical Care Medicine Physician
MD61092894WAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 11, 2025 Accepting new patients
Kapiolani Medical Specialists CurrentSince Jul 7, 2017 Accepting new patients
Multicare Health System Pediatrics CurrentSince Jul 11, 2025 Accepting new patients
Grant County Public Hospital District 1 Pediatrics CurrentSince Feb 1, 2021 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Feb 1, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Grant County Public Hospital District 1 Current Accepting new patients

Locations

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

660 S Coolidge St
Moses Lake, WA 98837

1616 S Pioneer Way
Moses Lake, WA 98837

8420 Aspi Blvd
Moses Lake, WA 98837
Phone (509) 793-9781

1550 S Pioneer Way
Ste 200
Moses Lake, WA 98837
Phone (509) 765-1538

1550 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 793-9780

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: cgonzalesbagdon6939@wm.providencedirect.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1447360359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-793-9715",
            "fax_number": "509-764-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S CLOVER DR",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374417",
            "telephone_number": "509-765-5606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 S Pioneer Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988374614",
            "country_code": "US",
            "telephone_number": "509-793-9787",
            "fax_number": "509-764-3263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054234",
            "country_code": "US",
            "telephone_number": "253-403-3602",
            "fax_number": "253-403-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CALLE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "MED-PHYS-LIC-103519",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "16068",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WA",
            "license": "MD61092894",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD61092894",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61092894",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "HI",
            "license": "MD11372",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G-71741",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NH",
            "license": "16068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD34321",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168392",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgonzalesbagdon6939@wm.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "EPIC EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1550 S Pioneer Way Ste 200",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988374614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CALLE",
            "last_name": "GONZALES-BAGDON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.