Individual provider Active NPI

Christine C Ponzio, M.D.

  • Family Medicine Physician
  • Gonzales, CA
National Provider Identifier
1790782191
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G48377 Issued in CA
Practice address
850 5TH St
Gonzales, CA 93926-9491
Phone
(831) 675-3601
Fax
(831) 675-3966
NPI assigned
Jun 30, 2005
Reactivated
Apr 10, 2006
Last updated
Jan 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X G483377 CA
Family Medicine Physician 207Q00000X G48377 CA Primary

Addresses

Primary practice location

850 5TH St
Gonzales, CA 93926-9491

Mailing address

850 5TH St
Gonzales, CA 93926-9491
Phone (831) 675-3601

Other identifiers 1

IdentifierTypeStateIssuer
RHM53884GMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000330 CA Practitioner - Family Practice 4183603327 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48377CAMDGeneral Practice Dentistry
G483377CAMDLegal Medicine
G48377CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Oct 18, 2015 Accepting new patients
Astrana Care Hospitalists, a Medical Corporation CurrentSince Aug 1, 2016 Accepting new patients
Salinas Valley Memorial Healthcare System Family Medicine CurrentSince Jun 18, 2024 Accepting new patients
Svmhs Clinics CurrentSince Oct 18, 2015 Accepting new patients
Salinas Valley Memorial Healthcare System CurrentSince Jun 18, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

850 5th St
Gonzales, CA 93926
Phone (831) 657-3601

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

Dept LA 24403
Pasadena, CA 91185

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

Interoperability endpoints

  • Direct secure messaging: admin@gonzalesmedicalgroup.e-mdsdirect.com
  • Direct secure messaging: christine-ponzio@gonzalesmedicalgroup.e-mdsdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1790782191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 5TH ST",
            "city": "GONZALES",
            "state": "CA",
            "postal_code": "939269491",
            "telephone_number": "831-675-3601",
            "fax_number": "831-675-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 5TH ST",
            "city": "GONZALES",
            "state": "CA",
            "postal_code": "939269491",
            "telephone_number": "831-675-3601",
            "fax_number": "831-675-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZIO",
        "first_name": "CHRISTINE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-01-04",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G483377",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53884G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, CA

Sources for this page

Verify at the official NPI Registry.