Active NPI
Alicia Mikolaycik Gonzalez, M.D.
- Emergency Medicine Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A133025
- Practice address
- 1400 E Church St
Santa Maria, CA 93454-5906 - Phone
- (805) 739-3000
- NPI assigned
- Mar 24, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A133025 | CA | Primary |
Addresses
Primary practice location
1400 E Church St
Santa Maria, CA 93454-5906
Mailing address
1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3000
Other names 1
- Alicia Mikolaycik Kurtz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - CaliforniaImperial Beach Community Clinic
Practice addresses (Care Compare)
345 S Halcyon Rd
Arroyo Grande, CA 93420-3817
Phone (805) 498-4261
869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 688-0821
949 Palm Ave
Imperial Beach, CA 91932-1503
Phone (619) 429-3733
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.4 of 100
- Quality
- 82.48
- Improvement activities
- 40
- Cost
- 76.78
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A133025 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Health Project Inc | Current | Accepting new patients | |
| Pacific Emergency Providers, a Prof. Corp. | Emergency Medicine | Current | Accepting new patients |
| North County Health Project Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| North County Health Project Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200
345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261
207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000
751 Medical Center Ct
#1182
Chula Vista, CA 91911
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3998 Vista Way
Ste 200
Oceanside, CA 92056
Phone (760) 724-5352
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
4077 5th Ave
#M
San Diego, CA 92103
Phone (619) 260-7000
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700
1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000
1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
Interoperability endpoints
- agonzalez788711@direct.ochin.org
Organizations & group practices 12
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.
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1245246917
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1497790539
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- Oceanside, CA
- NPI 1245770825
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1588489975
-
- Health Maintenance Organization
- San Diego, CA
- NPI 1225060742
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pioneers Memorial Hospital
- General Acute Care Hospital
- Brawley, CA
- NPI 1184429185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1619219029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E CHURCH ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545906",
"telephone_number": "805-739-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E CHURCH ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545906",
"telephone_number": "805-739-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ALICIA",
"middle_name": "MIKOLAYCIK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-24",
"last_updated": "2024-12-30",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A133025",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "KURTZ",
"middle_name": "MIKOLAYCIK",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.