Active NPI
Michael Gonzalez
- Other Technician
- Corona, CA
National Provider Identifier
1538525050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- TCP29766
- Practice address
- 19141 Box Canyon Rd
Corona, CA 92881-4239 - Phone
- (951) 371-1733
- Fax
- (888) 912-7645
- NPI assigned
- Jan 13, 2016
- Last updated
- Jan 13, 2016
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | TCP29766 | CA | Primary |
Addresses
Primary practice location
19141 Box Canyon Rd
Corona, CA 92881-4239
Mailing address
1240 E Ontario Ave Ste 102-324
Corona, CA 92881-8671
Phone (951) 582-4735
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
| License | State | Type | Specialty |
|---|---|---|---|
| TCP29766 | CA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporate Executive Transportation Inc. | Past | Accepting new patients |
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.
-
dba Perfect Medical Transportation
- Non-emergency Medical Transport (VAN)
- Corona, CA
- NPI 1710427364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1538525050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 E ONTARIO AVE STE 102-324",
"city": "CORONA",
"state": "CA",
"postal_code": "928818671",
"telephone_number": "951-582-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19141 BOX CANYON RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928814239",
"telephone_number": "951-371-1733",
"fax_number": "888-912-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-13",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "TCP29766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.