Manuel D Gonzalez, O.D., Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

7199 TLG Issued in CA

Legal business name

MANUEL D GONZALEZ, O.D., INC

Practice address

11552 Telegraph Rd
Santa Fe Springs, CA 90670-3110

Phone

(562) 868-2418

Fax

(562) 868-7043

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Manuel D Gonzalez, O.D.

Title

President

Phone

(562) 868-2418

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Ana Ordonez

  • Optometrist
  • Montebello, CA
  • NPI 1437045994
  NPD (past)
• Maria Esther Salado

  • Optometrist
  • Montebello, CA
  • NPI 1588027940
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1487927331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11552 TELEGRAPH RD",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703110",
            "telephone_number": "562-868-2418",
            "fax_number": "562-868-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11552 TELEGRAPH RD",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703110",
            "telephone_number": "562-868-2418",
            "fax_number": "562-868-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL D GONZALEZ, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-868-2418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7199 TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0071990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Maldonado
• Kimberly Mae Malz, AMFT138088
• Janae Yvonne Mancilla I
• Neil Manering, MD
• Madhure Manjunath, M.D.
• Rebeca Sarai Manzanilla
• Emily Manzo
• Ruth Haviva Maouda
• Bishop Marchian, CMPSS
• Rene M Margary

• Optometrist in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.