Individual provider Active NPI

Teresa R. Gonzalez, RPA-C

  • Surgical Physician Assistant
  • Tripler AMC, HI
National Provider Identifier
1538215900
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
009531 Issued in NY
Practice address
1 Jarrett White Rd RM 2C156
Tripler AMC, HI 96859-5001
Phone
(808) 433-1946
Fax
(808) 207-2553
NPI assigned
Jan 26, 2007
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X AMD1456 HI
Surgical Physician Assistant 363AS0400X 009531 NY Primary

Addresses

Primary practice location

1 Jarrett White Rd RM 2C156
Tripler AMC, HI 96859-5001

Mailing address

91-1007 Waiilikahi St
Ewa Beach, HI 96706-6407
Phone (917) 582-2356

Other practice location 1

91-1007 Waiilikahi St
Ewa Beach, HI 96706-6407
Phone (917) 582-2356

Other practice location 2

2781 Riverside Dr
Wantagh, NY 11793-4634
Phone (917) 582-2356

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMD1456HIMDMedical Physician Assistant
009531NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Malama Care LLC CurrentSince Sep 28, 2025 Accepting new patients

Interoperability endpoints

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1538215900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1007 WAIILIKAHI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066407",
            "telephone_number": "917-582-2356",
            "fax_number": "808-207-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD RM 2C156",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-1946",
            "fax_number": "808-207-2553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-1007 Waiilikahi St",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967066407",
            "country_code": "US",
            "telephone_number": "917-582-2356",
            "fax_number": "808-207-2553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2781 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117934634",
            "country_code": "US",
            "telephone_number": "917-582-2356",
            "fax_number": "808-207-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TERESA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD1456",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler AMC, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.