Jorge Gonzalez, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

GO57888 Issued in CA

Practice address

501 Petaluma Ave
Sebastopol, CA 95472-4215

Phone

(707) 823-8511

Fax

(707) 829-4147

NPI assigned

Apr 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Palm Drive Health Care District

  • General Acute Care Hospital
  • Sebastopol, CA
  • NPI 1053634725
  NPD (past)
• Palm Drive Health Care District

  • General Acute Care Hospital
  • Sebastopol, CA
  • NPI 1508891649
  NPD (past)
• Palm Drive Health Care District

  • General Acute Care Hospital
  • Sebastopol, CA
  • NPI 1851614523
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1457575706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PETALUMA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724215",
            "telephone_number": "707-823-8511",
            "fax_number": "707-829-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PETALUMA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724215",
            "telephone_number": "707-823-8511",
            "fax_number": "707-829-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "GO57888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill A Goldreyer
• Thea Goldstine, PH.D.
• Judith Goleman, M.F.T.
• Jonathan Gonick-Hallows
• Waide Hicks Gonzales, PA-C
• Mary Michelle Good
• June Ann Gordon, PHD
• Karen Gordon, LPCC
• Pamela Lynn Gould, N.D.
• Rio Govea, LAC

• Emergency Medicine Physician in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.