Organization Active NPI

Gonzalez Medical Practice Inc

Doing business as Reef Dermatology

  • Dermatology Physician
  • Carlsbad, CA
National Provider Identifier
1487522538
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GONZALEZ MEDICAL PRACTICE INC
Doing business as
Reef Dermatology
Practice address
1207 Carlsbad Village Dr Ste Q
Carlsbad, CA 92008-1958
Phone
(760) 669-3375
NPI assigned
Oct 28, 2025
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Jose Angel Gonzalez, MDNPI 1437646288
Title
Physician
Phone
(760) 669-3375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

1207 Carlsbad Village Dr Ste Q
Carlsbad, CA 92008-1958

Mailing address

1207 Carlsbad Village Dr Ste Q
Carlsbad, CA 92008-1958
Phone (760) 669-3375

Other names 1

  • Reef Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111001674 CA Part B Supplier - Clinic/Group Practice 1658862388 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1487522538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CARLSBAD VILLAGE DR STE Q",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081958",
            "telephone_number": "760-669-3375",
            "fax_number": "630-625-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CARLSBAD VILLAGE DR STE Q",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081958",
            "telephone_number": "760-669-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ MEDICAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-669-3375",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reef Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.