Active NPI
Jesus Cruz Gonzalez, HIS
- Hearing Instrument Specialist
- San Antonio, TX
National Provider Identifier
1760628291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80311
- Practice address
- 4714 Gavlick Farm
San Antonio, TX 78244-1328 - Phone
- (210) 251-6233
- Fax
- (210) 201-8107
- NPI assigned
- Jan 6, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 80311 | TX | Primary |
Addresses
Primary practice location
4714 Gavlick Farm
San Antonio, TX 78244-1328
Mailing address
4714 Gavlick Farm
San Antonio, TX 78244-1328
Phone (210) 251-6233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80311 | Other | TX | HEARING AID FITTER AND DISPENSOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80311 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Hearing AIDS LLC | Past | Accepting new patients |
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.
-
- Hearing Aid Equipment
- San Antonio, TX
- NPI 1184067043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1760628291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GAVLICK FARM",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782441328",
"telephone_number": "210-251-6233",
"fax_number": "210-201-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 GAVLICK FARM",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782441328",
"telephone_number": "210-251-6233",
"fax_number": "210-201-8107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JESUS",
"middle_name": "CRUZ",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID FITTER AND DISPENSOR",
"identifier": "80311",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.