Individual provider Active NPI

Victoria Elizabeth Gonzales, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1699331025
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U1279 Issued in TX
Practice address
2316 SE Military Dr
San Antonio, TX 78223-3527
Phone
(210) 817-7004
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U1279 TX Primary

Addresses

Primary practice location

2316 SE Military Dr
San Antonio, TX 78223-3527

Mailing address

12377 Merit Dr Ste 300
Dallas, TX 75251-3126
Phone (972) 957-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U1279TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Health Partners PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: victoria.gonzales@direct.myhealthep.org
  • Direct secure messaging: victoria.gonzales.1@11316.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1699331025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513126",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 SE MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233527",
            "telephone_number": "210-817-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "VICTORIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U1279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.