Callie R Gonzalez, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95013535 Issued in CA

Practice address

44045 Margarita Rd Ste 203
Temecula, CA 92592-2730

Phone

(951) 262-4488

Fax

(951) 262-4414

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trinity Integrative Medical Specialists IncGroup PAC ID 0446629562, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgonzalez313994@direct.llu.edu

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.

• Trinity Integrative Medical Specialists Inc.

  • Gastroenterology Physician
  • Temecula, CA
  • NPI 1669199881
  Medicare reassignment Care Compare group NPD
• Direct Medical Ventures Inc.

  • Emergency Medicine Physician
  • Laguna Hills, CA
  • NPI 1831700046
  Medicare reassignment NPD
• How Medical Apc

  • General Practice Physician
  • Carlsbad, CA
  • NPI 1346845922
  NPD (past)
• Rancho Family Medical Group, Inc.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1598791600
  NPD (past)
• UC San Diego Health - Rancho Family Medical Group

  • Multi-Specialty Clinic/Center
  • Temecula, CA
  • NPI 1003385071
  NPD (past)

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1487294591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD",
            "address_2": "STE 203",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922730",
            "telephone_number": "951-698-1901",
            "fax_number": "951-698-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 203",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922730",
            "telephone_number": "951-262-4488",
            "fax_number": "951-262-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CALLIE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95013535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Gonzalez
• Andrew Gonzalez
• Annelice Irene Gonzalez, RBT
• Benjamin Gonzalez
• Brianna Gonzalez
• Carla V Gonzalez
• Dayse Abigail Gonzalez
• Edgar P Gonzalez
• Hilda Daniela Gonzalez
• Jade Damaris Gonzalez

• Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.