Active NPI
Christine C Ponzio, M.D.
- Family Medicine Physician
- Gonzales, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G48377
- 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, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM53884G | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48377 | CA | MD | General Practice Dentistry |
| G483377 | CA | MD | Legal Medicine |
| G48377 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svmhs Clinics | Current | Accepting new patients | |
| Astrana Care Hospitalists, a Medical Corporation | Current | Accepting new patients | |
| Salinas Valley Memorial Healthcare System | Family Medicine | Current | Accepting new patients |
| Svmhs Clinics | Current | Accepting new patients | |
| Salinas Valley Memorial Healthcare System | Current | 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
- admin@gonzalesmedicalgroup.e-mdsdirect.com
- 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.
-
- Hospitalist Physician
- Alhambra, CA
- NPI 1265658595
-
dba Taylor Farms Family Health & Wellness Center
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
Family Medicine
-
dba Salinas Valley Health Clinics
- Multi-Specialty Clinic/Center
- Salinas, CA
- NPI 1093158347
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Family Medicine Physician
- Gonzales, CA
- NPI 1851509392
-
- Community/Retail Pharmacy
- Salinas, CA
- NPI 1659019578
-
- Physical Therapist
- Salinas, CA
- NPI 1518486893
-
- Specialist
- Salinas, CA
- NPI 1134279532
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.