Active NPI
Troy Dana Gonzalez, MD
- Diagnostic Radiology Physician
- Temecula, CA
National Provider Identifier
1497746614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A68647
- Practice address
- 34051 Arietta St
Temecula, CA 92592-5548 - Phone
- (951) 775-2388
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A68647 | CA | Primary |
Addresses
Primary practice location
34051 Arietta St
Temecula, CA 92592-5548
Mailing address
34051 Arietta St
Temecula, CA 92592-5548
Phone (951) 775-2388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200011190A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A68647 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawhuska IHS Pharmacy | Past | Accepting new patients | |
| Pawnee IHS Pharmacy | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Springer Clinic Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
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.
-
- Multi-Specialty Clinic/Center
- Tahlequah, OK
- NPI 1093722324
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawhuska, OK
- NPI 1952303190
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawnee, OK
- NPI 1124178017
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1316949860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1497746614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34051 ARIETTA ST",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925548",
"telephone_number": "951-775-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34051 ARIETTA ST",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925548",
"telephone_number": "951-775-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "TROY",
"middle_name": "DANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A68647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200011190A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.