Patrick & Edivina Gonzales Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A506690 Issued in CA

Legal business name

PATRICK & EDIVINA GONZALES MEDICAL GROUP INC

Practice address

29798 Haun Rd
Suite 106
Menifee, CA 92586-6541

Phone

(951) 301-3588

Fax

(951) 301-4309

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick D. Gonzales, MEDICAL DOCTORNPI 1194751289

Title

President

Phone

(951) 301-3588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick D. Gonzales, M.D.

  • Internal Medicine Physician
  • Sun City, CA
  • NPI 1194751289
  Medicare reassignment Care Compare group NPD Authorized official
• Edivina B. Gonzales, M.D.

  • Internal Medicine Physician
  • Sun City, CA
  • NPI 1386670479
  Medicare reassignment Care Compare group NPD
• Gregory Cheek, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Loma Linda, CA
  • NPI 1982624003
  NPD (past)
• Vadim Gurvits, D.O.

  • Family Medicine Physician
  • Menifee, CA
  • NPI 1790725398
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1619905080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 106",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-3588",
            "fax_number": "951-301-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 106",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-3588",
            "fax_number": "951-301-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK & EDIVINA GONZALES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-301-3588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A506690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank G Pastore, D.D.S.
• Avinas Patel, PHARM.D.
• Binoy Govindbhai Patel, P.T.M.S.P.T., O.C.S.
• Mona Patel
• Reshmaben Patel
• Pediatric Partners Medical Professional Corporation
• Autumn Peery
• Penda LLC
• Jessica M Peralta
• Ashley Karina Perez

• Internal Medicine Physician in Menifee, CA
• Providers in Menifee, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.