Active NPI
Anna Marie B Gonzalez, MD
- Family Medicine Physician
- Fresno, CA
National Provider Identifier
1770515132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G65623
- Practice address
- 3727 N 1St St
Ste 106
Fresno, CA 93726-5628 - Phone
- (559) 457-6900
- Fax
- (559) 457-6990
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G65623 | CA | Primary |
Addresses
Primary practice location
3727 N 1St St
Ste 106
Fresno, CA 93726-5628
Mailing address
3727 N First St.
Ste 106
Fresno, CA 93726
Phone (559) 457-6900
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65623 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1770515132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 N FIRST ST.",
"address_2": "STE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "93726",
"telephone_number": "559-457-6900",
"fax_number": "559-457-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 N 1ST ST",
"address_2": "STE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937265628",
"telephone_number": "559-457-6900",
"fax_number": "559-457-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ANNA MARIE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G65623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.