Active NPI
Calle A Gonzales, M.D.
- Hospitalist Physician
- Moses Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD61092894
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD34321 | Medicaid | AK | |
| 2168392 | Medicaid | WA |
Other names 1
- Calle Ann Gonzales-Bagdon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgonzalesbagdon6939@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3432 | AK | MD | Addiction (Substance Use Disorder) Counselor |
| G-71741 | CA | MD | Pediatrics Physician |
| MED-PHYS-LIC-103519 | MT | MD | Pediatrics Physician |
| MD11372 | HI | MD | Pediatric Critical Care Medicine Physician |
| MD61092894 | WA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Kapiolani Medical Specialists | Current | Accepting new patients | |
| Multicare Health System | Pediatrics | Current | Accepting new patients |
| Grant County Public Hospital District 1 | Pediatrics | Current | Accepting new patients |
| Grant County Public Hospital District 1 | Current | 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
- 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.
-
dba Samaritan Clinic
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1619086766
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Hawaii Pacific Health Medical Group
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1124071014
-
dba Samaritan Clinic on Patton
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1609112739
Pediatrics
-
dba Samaritan
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
-
dba Mary Bridge Emergency Dept
- Pediatrics Physician
- Tacoma, WA
- NPI 1093768194
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.