Active NPI
Andrea Teran Gonzales, M.D.
- Emergency Medicine Physician
- Santa Paula, CA
National Provider Identifier
1659313534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A91755
- Practice address
- 825 N 10TH St
Santa Paula, CA 93060-1309 - Phone
- (805) 525-7171
- Fax
- (805) 505-2955
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | A91755 | CA | Primary |
Addresses
Primary practice location
825 N 10TH St
Santa Paula, CA 93060-1309
Mailing address
1216 Velma Miles PL
El Paso, TX 79912-7484
Phone (915) 833-6920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A917550 | Medicaid | CA | |
| 1659313534 | Medicaid | CA |
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
- Medical College of Wisconsin, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5051
Hospital & facility affiliations
- Community Memorial Hospital - Ventura
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 78.57
- Improvement activities
- 40
- Cost
- 79.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91755 | CA | MD | Marriage & Family Therapist |
| A91755 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| Ridgeline Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ojai Emergency Physicians Corporation | Emergency Medicine | Current | Accepting new patients |
Locations
18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331
1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Ventura, CA
- NPI 1518298686
-
- Emergency Medicine Physician
- Ojai, CA
- NPI 1497152755
-
- Emergency Medicine Physician
- Northridge, CA
- NPI 1972953230
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1659313534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 VELMA MILES PL",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127484",
"telephone_number": "915-833-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N 10TH ST",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930601309",
"telephone_number": "805-525-7171",
"fax_number": "805-505-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ANDREA",
"middle_name": "TERAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A91755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A917550",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659313534",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.