Active NPI
Deborah A Gonzales, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1487714598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24291
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-1000
- NPI assigned
- Dec 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24291 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0865440 | Other | AZ | BCBS |
Other names 1
- Dr. Deborah Anne Collins-Gonzales
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24291 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| McAuley Pediatrics | Pediatrics | Current | Accepting new patients |
| Phoenix Children'S Medical Group | Current | Accepting new patients |
Locations
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
3600 N 3rd Ave
Ste A
Phoenix, AZ 85013
Phone (602) 477-9422
6301 S McClintock Dr
Ste 101
Tempe, AZ 85283
Phone (480) 214-2300
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1508446238
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1487714598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "24291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0865440",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "COLLINS-GONZALES",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.