Individual provider Active NPI

Ariana Marie Gonzales, PA

  • Physician Assistant
  • Dearborn, MI
National Provider Identifier
1801483334
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010067 Issued in MI
Practice address
19855 Outer Dr Ste 207W
Dearborn, MI 48124-2193
Phone
(313) 327-0044
Fax
(313) 347-9026
NPI assigned
Dec 30, 2020
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010067 MI Primary

Addresses

Primary practice location

19855 Outer Dr Ste 207W
Dearborn, MI 48124-2193

Mailing address

19855 Outer Dr Ste 207W
Dearborn, MI 48124-2193
Phone (313) 327-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713003509 MI Practitioner - Physician Assistant 9739581711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western Michigan Un Homer Stryker School of Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First Care PLLCGroup PAC ID 4082996186, 4 clinicians

Practice addresses (Care Compare)

43347 Riverbridge CT
Novi, MI 48375-4722
Phone (313) 675-9516

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601010067TMP20MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center Street Pharmacy PLLC PastSince Jul 9, 2025 Accepting new patients

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 4

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": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1801483334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19855 OUTER DR STE 207W",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242193",
            "telephone_number": "313-327-0044",
            "fax_number": "313-347-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 OUTER DR STE 207W",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242193",
            "telephone_number": "313-327-0044",
            "fax_number": "313-347-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ARIANA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.