Active NPI
Miguel Martinez Gonzalez
- Physician Assistant
- Glendale, AZ
National Provider Identifier
1770463598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10336
- Practice address
- 5220 N 43Rd Ave Apt 213
Glendale, AZ 85301-7135 - Phone
- (480) 876-5866
- NPI assigned
- Sep 3, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10336 | AZ | Primary |
Addresses
Primary practice location
5220 N 43Rd Ave Apt 213
Glendale, AZ 85301-7135
Mailing address
1160 W 64TH St
Hialeah, FL 33012-6418
Phone (786) 443-3762
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 |
|---|---|---|---|
| 10336 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1770463598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 W 64TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330126418",
"telephone_number": "786-443-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 N 43RD AVE APT 213",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853017135",
"telephone_number": "480-876-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ GONZALEZ",
"first_name": "MIGUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.