Roberto Angel Gonzalez, DC
Individual provider Active NPI Chiropractor · Kahului, HI
NPI 1790760957 · NPPES record last updated Sep 24, 2021
Key facts
- NPI
- 1790760957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1484 (HI)
- Practice address
- 360 Hoohana St Ste A104
Kahului, HI 96732-2975 - Phone
- (808) 866-9395
- Fax
- (808) 877-1558
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aloha Family Chiropractic and Wellness LLC
Practice addresses (Care Compare)
360 Hoohana St
Suite A104
Kahului, HI 96732-2975
Phone (808) 866-9437
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211215000491 | HI | Practitioner - Chiropractic | 8921998816 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31047 | CA | MD | Chiropractor |
| 1484 | HI | MD | Chiropractor |
| 7045 | AZ | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hana Health | Single Specialty | Current |
Accepting new patients |
| Aloha Family Chiropractic and Wellness LLC | Chiropractor | Current | Accepting new patients |
| Aloha Family Chiropractic and Wellness LLC | Chiropractor | Current |
Accepting new patients |
| Bell Road Chiropractic and Wellness, LLC | Chiropractor | Past |
Accepting new patients |
| Lichtman Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Tiffany Lynn Naughton | Chiropractor | Past | Accepting new patients |
| Hana Health | Single Specialty | Past | Accepting new patients |
| La Health & Wellness Medical Group | Past |
Accepting new patients |
Locations
360 Hoohana St
Ste A104
Kahului, HI 96732
Phone (808) 866-9395
7 Aewa Pl
Ste 12
Makawao, HI 96768
Phone (808) 572-5599
Interoperability endpoints
- https://api.platform.athenahealth.com/9596/brand/1/csg/1/fhir/r4
- roberto.gonzalez.1@9596.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31047 | CA | |
| Chiropractor | 111N00000X | 7045 | AZ | |
| Chiropractor |
111N00000X | 1484 | HI | Yes |
Addresses
Primary practice location
360 Hoohana St Ste A104
Kahului, HI 96732-2975
Mailing address
360 Hoohana St Ste A104
Kahului, HI 96732-2975
Phone (808) 866-9395
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.