James Gonzales Corporation LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAMES GONZALES CORPORATION LLC

Practice address

12208 Mirandy CT NE
Albuquerque, NM 87122-1274

Phone

(505) 554-4579

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. James Orlando Gonzales, MDNPI 1730507955

Title

Managing Member

Phone

(505) 554-4579

Specialties & licenses 3

Addresses

Other names 1

• Gonzales Corporation Other name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJFEDD

Practitioners 1

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

• James O Gonzales, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1730507955
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1497516546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12208 MIRANDY CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221274",
            "telephone_number": "505-554-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12208 MIRANDY CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221274",
            "telephone_number": "505-554-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES GONZALES CORPORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ORLANDO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-554-4579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonzales Corporation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gonzales Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bernadette Armaline Johnson Jakeman, PHARM.D.
• Antoine Jakiche, M.D.
• Ishra Jalal
• Fadi Ali Jamaleddin Ahmad, MD, MPH
• James E Twohig DDS PA
• James H. Rice, M.D.,PC
• James M. Slaman, D.D.S., P.C.
• James M. Wilterding, M.D., LLC
• James Park
• James R Tryon M.D., PC

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.