NPIMap

Individual provider Active NPI

Kasein Gonzalez, MD

  • Family Medicine Physician
  • Orange, CA
National Provider Identifier
1700049459
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A117390 Issued in CA
Practice address
303 W Katella Ave Ste 308
Orange, CA 92867-4790
Phone
(714) 602-6660
Fax
(714) 602-5550
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A117390 CA Primary

Addresses

Primary practice location

303 W Katella Ave Ste 308
Orange, CA 92867-4790

Mailing address

303 W Katella Ave Ste 308
Orange, CA 92867-4790
Phone (714) 602-6660

Other identifiers 1

IdentifierTypeStateIssuer
A117390OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000595 CA Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - General Practice 9638326762 Reassigns benefits to 2 organizations
Practice locations: Orange, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kasein Gonzalez MD IncGroup PAC ID 7719223429, 2 clinicians

Practice addresses (Care Compare)

303 W Katella Ave
Suite 308
Orange, CA 92867-4790
Phone (714) 602-6660

Hospital & facility affiliations

  • Haven Healthcare Home health agency, Signal Hill, CA, CCN 058121
  • Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
  • Haven Health Hospice, Signal Hill, CA, CCN 551721
  • Compcare Hospice, Inc Hospice, Torrance, CA, CCN 551638
  • Above and Beyond Hospice Care Hospice, Chino, CA, CCN 921780
  • Maka Hospice, Inc Hospice, Van Nuys, CA, CCN 751675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117390CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Youth Fountain Incorporated CurrentSince May 1, 2023 Accepting new patients
Eminence Health Management Inc. Family Medicine CurrentSince Nov 8, 2022 Accepting new patients
Dignity Health Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

557 N Central Ave
Upland, CA 91786
Phone (909) 608-7178

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1700049459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W KATELLA AVE STE 308",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674790",
            "telephone_number": "714-602-6660",
            "fax_number": "714-602-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W KATELLA AVE STE 308",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674790",
            "telephone_number": "714-602-6660",
            "fax_number": "714-602-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KASEIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A117390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A117390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.