Active NPI
Cristian Daniel Gonzalez, M.D.
- Dermatology Physician
- Norwood, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 1028615
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2100 Webster St
Suite 305
San Francisco, CA 94115-2376
Phone (415) 202-1540
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 352 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Dermatology, Inc. | Dermatology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Past | Accepting new patients | |
| Douglas a. Thomas, MD | Dermatology | Past | 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.
-
- Dermatology Physician
- San Francisco, CA
- NPI 1043551070
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.