Individual provider Active NPI

Gonzalo A Cazas, M.D.

  • Anesthesiology Physician
  • Sun City, CA
National Provider Identifier
1790902708
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A43494 Issued in CA
Practice address
28400 McCall Blvd
Sun City, CA 92585-9658
Phone
(951) 929-6260
NPI assigned
Apr 19, 2007
Last updated
Dec 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A43494 CA Primary

Addresses

Primary practice location

28400 McCall Blvd
Sun City, CA 92585-9658

Mailing address

PO Box 788
Hemet, CA 92546-0788
Phone (951) 929-6260

Other identifiers 2

IdentifierTypeStateIssuer
00A434940MedicaidCA
P00175242OtherCARAILROAD MEDICARE

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
I20040216001182 CA Practitioner - Anesthesiology 9436044898 Reassigns benefits to 1 organization
Practice locations: Chino, CA; San Bernardino, CA; Sun City, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Springs Anesthesia Services PCGroup PAC ID 6406049592, 90 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 449-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43494CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Aug 26, 2018 Accepting new patients
Inland Empire Outpatient Surgery Center Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

1805 Medical Center Dr
#O
Sn Bernrdno, CA 92411
Phone (909) 887-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1790902708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925460788",
            "telephone_number": "951-929-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28400 MCCALL BLVD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925859658",
            "telephone_number": "951-929-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZAS",
        "first_name": "GONZALO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A43494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A434940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00175242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, CA

Sources for this page

Verify at the official NPI Registry.