Active NPI
Andreas Gonzalez, MD
- Ophthalmology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A162647
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
5115 Fannin St
Suite 1000
Houston, TX 77004-5805
Phone (713) 580-2500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A162647 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina-Vitreous Associates Medical Group PC | Ophthalmology | Current | Accepting new patients |
| Mann Eye Center | Ophthalmology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Mann Eye Center, PA | Current | Accepting new patients | |
| Mann Eye Center, PA | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1134164023
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Clinic/Center
- Los Angeles, CA
- NPI 1134159148
-
- Ambulatory Surgical Clinic/Center
- Sugar Land, TX
- NPI 1356020572
-
- Clinic/Center
- Humble, TX
- NPI 1114129350
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.