Individual provider Active NPI

Guillermo Gonzalez, M.D.

  • Hematology & Oncology Physician
  • Tucson, AZ
National Provider Identifier
1740249986
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
20067 Issued in AZ
Practice address
3945 E Paradise Falls Dr Ste 105
Tucson, AZ 85712-6686
Phone
(520) 689-7030
Fax
(520) 395-9796
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 20067 AZ Primary

Addresses

Primary practice location

3945 E Paradise Falls Dr Ste 105
Tucson, AZ 85712-6686

Mailing address

3945 E Paradise Falls Dr Ste 201
Tucson, AZ 85712-6687
Phone (520) 689-7030

Other practice location 1

1620 W Saint Marys Rd
Tucson, AZ 85745-2624
Phone (520) 624-7445

Other practice location 2

1710 N Mastick Way
Nogales, AZ 85621-1013
Phone (520) 689-7030

Other practice location 3

507 N Western Ave
Nogales, AZ 85621-2060
Phone (520) 689-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101215001042 AZ Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Hematology/Oncology 7517155617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Blood and Cancer Specialists, PLLCGroup PAC ID 4082957428, 15 clinicians

Practice addresses (Care Compare)

3945 E Paradise Falls Dr
Suite 105
Tucson, AZ 85712-6686
Phone (520) 689-7022

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Nogales, AZ, CCN 031313

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20067AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Blood and Cancer Specialists, PLLC Hematology & Oncology CurrentSince Jun 1, 2019 Accepting new patients
Arizona Oncology Associates, PC Hematology & Oncology Past Accepting new patients

Locations

1710 N Mastick Way
Nogales, AZ 85621

507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085

3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712
Phone (520) 290-5888

3700 E Fort Lowell Rd
Tucson, AZ 85716

3700 E Fort Lowell Rd
Ste 130
Tucson, AZ 85716
Phone (520) 325-9718

10390 N La Canada Dr
Ste 150
Tucson, AZ 85737
Phone (520) 276-6047

2625 N Craycroft Rd
Ste 200
Tucson, AZ 85712
Phone (520) 324-2409

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

3945 E Paradise Falls Dr
Ste 105
Tucson, AZ 85712
Phone (520) 689-7022

Organizations & group practices 2

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 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1740249986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DR STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126687",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DR STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126686",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 W Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452624",
            "country_code": "US",
            "telephone_number": "520-624-7445",
            "fax_number": "520-623-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 N Mastick Way",
            "address_purpose": "LOCATION",
            "city": "Nogales",
            "state": "AZ",
            "postal_code": "856211013",
            "country_code": "US",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Nogales",
            "state": "AZ",
            "postal_code": "856212060",
            "country_code": "US",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GUILLERMO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "20067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.