Active NPI
Roberto Angel Gonzalez, DC
- Chiropractor
- Kahului, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1484
- Practice address
- 360 Hoohana St Ste A104
Kahului, HI 96732-2975 - Phone
- (808) 866-9395
- Fax
- (808) 877-1558
- NPI assigned
- Dec 9, 2005
- Last updated
- Sep 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31047 | CA | |
| Chiropractor | 111N00000X | 7045 | AZ | |
| Chiropractor | 111N00000X | 1484 | HI | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Hoohana St
Suite A104
Kahului, HI 96732-2975
Phone (808) 866-9437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7045 | AZ | MD | Chiropractor |
| 31047 | CA | MD | Chiropractor |
| 1484 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Family Chiropractic and Wellness LLC | Chiropractor | Current | Accepting new patients |
| Aloha Family Chiropractic and Wellness LLC | Chiropractor | Current | Accepting new patients |
| Hana Health | Single Specialty | Current | Accepting new patients |
| Tiffany Lynn Naughton | Chiropractor | Past | Accepting new patients |
| Lichtman Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Bell Road Chiropractic and Wellness, LLC | Chiropractor | Past | Accepting new patients |
| La Health & Wellness Medical Group | Past | Accepting new patients | |
| Hana Health | Single Specialty | 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
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Kahului, HI
- NPI 1649940669
-
- Chiropractor
- Kahului, HI
- NPI 1013649953
-
- Chiropractor
- Scottsdale, AZ
- NPI 1669401659
-
- General Practice Physician
- Studio City, CA
- NPI 1790094555
-
- Chiropractor
- Solana Beach, CA
- NPI 1205943982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1790760957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 HOOHANA ST STE A104",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322975",
"telephone_number": "808-866-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 HOOHANA ST STE A104",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322975",
"telephone_number": "808-866-9395",
"fax_number": "808-877-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ROBERTO",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31047",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7045",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "HI",
"license": "1484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.