Mike C Gonzales Jr., NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

18-1750 Issued in AZ

Practice address

18275 N 59TH Ave Ste 106
Glendale, AZ 85308-1252

Phone

(602) 900-9103

Fax

(866) 452-2709

NPI assigned

Sep 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1689159519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041301",
            "telephone_number": "602-900-9103",
            "fax_number": "866-452-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081252",
            "telephone_number": "602-900-9103",
            "fax_number": "866-452-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MIKE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "18-1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salina Gomez, LAC
• Zyana Gomez
• Tealai Raechal Gonella
• Karen Patricia Gonsalves-Wetherell, MD
• Magie R Gonzales-Rivera, SLPA
• Kasandra Gonzalez Roche
• Angelina Marissa Gonzalez-Truong, M.D.
• Alexandra Gonzalez, RN
• Ashley Gonzalez
• Brittany Paige Gonzalez

• Naturopath in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.