Jose Manuel Gonzalez-Diaz

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A41311 Issued in CA

Legal business name

JOSE MANUEL GONZALEZ-DIAZ

Practice address

20440 Sherman Way
Canoga Park, CA 91306-3110

Phone

(818) 994-6177

Fax

(818) 994-6177

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose Manuel Gonzalez-Diaz, M.D.

Title

Owner

Phone

(818) 994-6177

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oscar A Escobar, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1477670750
  NPD (past)
• Hugo Alfredo Rodriguez, PA

  • Physician Assistant
  • Canoga Park, CA
  • NPI 1306004304
  NPD (past)
• Jose Vargas, PA

  • Physician Assistant
  • Canoga Park, CA
  • NPI 1396903647
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1467517557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20440 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913063110",
            "telephone_number": "818-994-6177",
            "fax_number": "818-994-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20440 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913063110",
            "telephone_number": "818-994-6177",
            "fax_number": "818-994-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE MANUEL GONZALEZ-DIAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-994-6177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Jones
• Inez Jones
• Sagirah Thandiweh Jones
• Emily Jordan-Madrigal
• Kai Jordan
• Daniel Joseph
• Keirra Joshua
• Martin Juarez Ramirez
• Christian Juarez
• Stephanie Juarez

• Family Medicine Physician in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.