Individual provider Active NPI

Brian Pizarro Gonzales, D.C.

  • Chiropractor
  • Corona, CA
National Provider Identifier
1790969970
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30531 Issued in CA
Practice address
555 Queensland Cir Ste 102
Corona, CA 92879-1380
Phone
(951) 805-3077
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30531 CA Primary

Addresses

Primary practice location

555 Queensland Cir Ste 102
Corona, CA 92879-1380

Mailing address

2200 Hamner Ave
Ste 100
Norco, CA 92860-2673
Phone (909) 472-8529

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
I20140707002068 CA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 7719102797 Reassigns benefits to 1 organization
Practice locations: Norco, CA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Los Angeles College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 Hamner Ave
Suite 100
Norco, CA 92860-2673
Phone (951) 805-3077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30531CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Gonzales Chiropractic Inc CurrentSince May 15, 2023 Accepting new patients
Scott Won Chiropractic Corporation Chiropractor PastSince Jan 4, 2015 Accepting new patients

Locations

2200 Hamner Ave
Ste 100
Norco, CA 92860
Phone (951) 734-3272

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1790969970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HAMNER AVE",
            "address_2": "STE 100",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602673",
            "telephone_number": "909-472-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 QUEENSLAND CIR STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791380",
            "telephone_number": "951-805-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "BRIAN",
        "middle_name": "PIZARRO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.