Individual provider Active NPI

Joseph Gonzalez

  • Physical Therapist
  • Delano, CA
National Provider Identifier
1780137851
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT304461 Issued in CA
Practice address
2512 Sillano Dr
Delano, CA 93215-9104
Phone
(661) 778-2286
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X
Physical Therapist 225100000X PT304461 CA Primary

Addresses

Primary practice location

2512 Sillano Dr
Delano, CA 93215-9104

Mailing address

2512 Sillano Dr
Delano, CA 93215-9104
Phone (661) 778-2286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024004071 CA Practitioner - Physical Therapist in Private Practice 5698121804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terrio Therapy-Fitness IncGroup PAC ID 8628059805, 34 clinicians

Practice addresses (Care Compare)

3400 Calloway Dr
Suite 600
Bakersfield, CA 93312-2514
Phone (661) 377-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT304461CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Terrio Therapy-Fitness, Inc. Physical Therapist CurrentSince Sep 2, 2023 Accepting new patients

Locations

3400 Calloway Dr
Ste 603
Bakersfield, CA 93312

3400 Calloway Dr
Ste 600
Bakersfield, CA 93312

1800 Westwind Dr
Ste 500
Bakersfield, CA 93301
Phone (661) 322-9411

1430 High St
Delano, CA 93215
Phone (661) 725-4614

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1780137851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SILLANO DR",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159104",
            "telephone_number": "661-778-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 SILLANO DR",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159104",
            "telephone_number": "661-778-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.