Active NPI
Daniel Israel Gonzalez, M.D.
- Vascular Neurology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 63602
- Practice address
- 2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434 - Phone
- (602) 406-6262
- Fax
- (602) 406-6261
- NPI assigned
- Mar 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular Neurology Physician | 2084V0102X | 63602 | AZ | Primary |
Addresses
Primary practice location
2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434
Mailing address
240 W. Thomas Rd # 301
Phoenix, AZ 85013-4434
Phone (602) 406-6262
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Texas a & M University System, HSC, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 W Thomas Rd
680 DHMG St Joseph'S Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017
Hospital & facility affiliations
- St Josephs Hospital and Medical Center
- Yavapai Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Pathology | Current | Accepting new patients | |
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients | |
| St. Joseph'S Outpatient Surgery Center, LLC | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Sjhmc Physician Services | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
2910 N 3rd Ave
Ste 470
Phoenix, AZ 85013
Phone (602) 406-6262
240 W Thomas Rd
Ste 301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
Ste 430
Phoenix, AZ 85013
Phone (602) 406-7421
240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
#470
Phoenix, AZ 85013
Phone (602) 406-6262
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
File 56765
Los Angeles, CA 90074
Interoperability endpoints
- daniel.gonzalez.1@5919.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1265407738
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1306843222
-
- General Practice Physician
- Winslow, AZ
- NPI 1538321674
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1780115832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W. THOMAS RD # 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DANIEL",
"middle_name": "ISRAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2024-10-23",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "AZ",
"license": "63602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.