Individual provider Active NPI

Andreas Gonzalez, MD

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1679968572
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A162647 Issued in CA
Practice address
6561 E Carondelet Dr
Tucson, AZ 85710-2156
Phone
(520) 886-2597
Fax
(520) 886-6639
NPI assigned
Mar 30, 2015
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 62571 AZ
Ophthalmology Physician 207W00000X A162647 CA Primary

Addresses

Primary practice location

6561 E Carondelet Dr
Tucson, AZ 85710-2156

Mailing address

6561 E Carondelet Dr
Tucson, AZ 85710-2156
Phone (520) 886-2597

Other names 1

  • Andres Gonzalez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andres.xgonzalez@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190626003090 CA Practitioner - Ophthalmology 2365753464 Reassigns benefits to 1 organization
I20240228000632 TX Practitioner - Ophthalmology 2365753464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

5115 Fannin St
Suite 1000
Houston, TX 77004-5805
Phone (713) 580-2500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162647CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina-Vitreous Associates Medical Group PC Ophthalmology CurrentSince Jan 6, 2020 Accepting new patients
Mann Eye Center Ophthalmology CurrentSince Mar 1, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2019 Accepting new patients
Mann Eye Center, PA CurrentSince Mar 1, 2024 Accepting new patients
Mann Eye Center, PA Current Accepting new patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Jun 1, 2019 Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Doheny Eye Medical Group Past Accepting new patients
Grand Parkway Surgery Center, LP Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9001 Wilshire Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 659-3337

1245 Wilshire Blvd
Ste 380
Los Angeles, CA 90017
Phone (213) 483-8810

1450 San Pablo St
Ste 4000
Los Angeles, CA 90033
Phone (323) 442-6335

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

File 51006
Los Angeles, CA 90074

5115 Fannin St
Ste 1000
Houston, TX 77004
Phone (713) 275-2457

18850 S Memorial Dr
Humble, TX 77338
Phone (281) 446-7900

750 Westgreen Blvd
Katy, TX 77450
Phone (281) 392-3937

1601 Highway 59 Loop N
Ste 100
Livingston, TX 77352
Phone (936) 327-3937

6424 E Riverpark Dr
Sugar Land, TX 77479
Phone (713) 275-2437

17450 St Lukes Way
Ste 100
The Woodlands, TX 77384
Phone (281) 363-3443

Organizations & group practices 10

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1679968572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6561 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-886-2597",
            "fax_number": "520-886-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6561 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-886-2597",
            "fax_number": "520-886-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANDREAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "62571",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A162647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andres.xgonzalez@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1450 San Pablo St Ste 4000",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDRES",
            "last_name": "GONZALEZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.