Individual provider Active NPI

Gonzalo Platon Obnial, M.D.

  • Vascular Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1497909931
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A112342 Issued in CA
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 932-6330
Fax
(925) 932-0139
NPI assigned
Nov 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301091346 MI
Vascular Surgery Physician 2086S0129X A112342 CA Primary

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 932-6330

Other practice location 1

350 30th St Ste 210
Oakland, CA 94609-3425
Phone (510) 832-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111001039 CA Practitioner - Vascular Surgery 6507051851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2350 Country Hills Dr
Antioch, CA 94509-7436

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

3443 Villa LN
Suite 5
Napa, CA 94558-6417
Phone (707) 287-2513

350 30TH St
Suite 210
Oakland, CA 94609-3425
Phone (510) 832-6131

365 Lennon LN
Walnut Creek, CA 94598-5915

6600 Lone Tree Way
Brentwood, CA 94513-5256
Phone (925) 932-6330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as individual
Quality
89.04
Promoting interoperability
100
Improvement activities
40
Cost
75.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal97
Leg revascularization (restoring blood flow)78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301091346MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2012 Accepting new patients
Shadelands Endovascular, LLC CurrentSince Jul 24, 2017 Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2012 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Feb 26, 2011 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John Muir Health Past Accepting new patients
Bass Medical Group Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2350 Country Hills Dr
Ste A
Antioch, CA 94509
Phone (925) 464-1982

6600 Lone Tree Way
Brentwood, CA 94513
Phone (925) 471-4223

19845 Lake Chabot Rd
Ste 200
Castro Valley, CA 94546
Phone (510) 538-4500

350 30th St
Ste 210
Oakland, CA 94609
Phone (510) 832-6131

365 Hawthorne Ave
Ste 103
Oakland, CA 94609
Phone (510) 448-6772

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

2637 Shadelands Dr
Ste A
Walnut Creek, CA 94598

460 N Wiget Ln
#B
Walnut Creek, CA 94598
Phone (925) 378-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gobnial161308@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA
  • Direct secure messaging: gobnial18089@ehr.johnmuirhealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1497909931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-932-6330",
            "fax_number": "925-932-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-932-6330",
            "fax_number": "925-932-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 30th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093425",
            "country_code": "US",
            "telephone_number": "510-832-6131",
            "fax_number": "510-832-6169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBNIAL",
        "first_name": "GONZALO",
        "middle_name": "PLATON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301091346",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A112342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.