Individual provider Active NPI

Cristian Daniel Gonzalez, M.D.

  • Dermatology Physician
  • Norwood, MA
National Provider Identifier
1699201988
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1028615 Issued in MA
Practice address
128 Carnegie Row Ste 202
Norwood, MA 02062-5162
Phone
(781) 762-5858
Fax
(781) 617-6202
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22375 NV
Dermatology Physician 207N00000X A196738 CA
Dermatology Physician 207N00000X 1028615 MA Primary

Addresses

Primary practice location

128 Carnegie Row Ste 202
Norwood, MA 02062-5162

Mailing address

526 Main St Ste 302
Acton, MA 01720-3310
Phone (978) 371-7010

Other practice location 1

95 Washington St Ste 210
Canton, MA 02021-4009
Phone (781) 713-1200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724001582 CA Practitioner - Dermatology 6406225390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Dermatology IncGroup PAC ID 9335362094, 2 clinicians

Practice addresses (Care Compare)

2100 Webster St
Suite 305
San Francisco, CA 94115-2376
Phone (415) 202-1540

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions352
Removal of nail tissue1-10
Skin biopsy28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Dermatology, Inc. Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Douglas a. Thomas, MD Dermatology PastSince Sep 7, 2022 Accepting new patients

Locations

770 Tamalpais Dr
Ste 403
Corte Madera, CA 94925
Phone (415) 924-2055

2100 Webster St
Ste 305
San Francisco, CA 94115
Phone (415) 202-1540

1 Blackfield Dr
Ste 347
Tiburon, CA 94920

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, 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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1699201988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203310",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CARNEGIE ROW STE 202",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625162",
            "telephone_number": "781-762-5858",
            "fax_number": "781-617-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Washington St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MA",
            "postal_code": "020214009",
            "country_code": "US",
            "telephone_number": "781-713-1200",
            "fax_number": "781-619-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CRISTIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "22375",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A196738",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1028615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.