Individual provider Active NPI

Arturo Gonzalez Jr., PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1801499231
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
280 S Main St Ste 200
Orange, CA 92868-3852
Phone
(714) 634-4567
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 Primary

Addresses

Primary practice location

280 S Main St Ste 200
Orange, CA 92868-3852

Mailing address

280 S Main St Ste 200
Orange, CA 92868-3852
Phone (714) 634-4567

Other practice location 1

25936 Via Del Sur
Mission Viejo, CA 92691-4038
Phone (949) 525-6818

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001936 CA Practitioner - Physician Assistant 1951714690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians

Practice addresses (Care Compare)

1511 E Katella Ave
Orange, CA 92867-5025
Phone (844) 254-6382

20635 Yorba Linda Blvd
Yorba Linda, CA 92886-7133
Phone (844) 254-6382

25461 Rancho Niguel Rd
Laguna Niguel, CA 92677-7304
Phone (844) 254-6382

29100 Portola Pkwy
Suite B
Lake Forest, CA 92630-8712

29100 Portola Pkwy
Suite B
Lake Forest, CA 92630-8713
Phone (844) 254-6382

6876 Katella Ave
Cypress, CA 90630-5108
Phone (844) 254-6382

9025 Warner Ave
Suite B
Fountain Valley, CA 92708-2700
Phone (844) 254-6382

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arturo.gonzalez.1@15000.direct.athenahealth.com
  • Direct secure messaging: arturo.gonzalezpac.p1@direct.osiortho.nextgenshare.com
  • Direct secure messaging: arturo.gonzalez.1@3488.direct.athenahealth.com

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1801499231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683852",
            "telephone_number": "714-634-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683852",
            "telephone_number": "714-634-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25936 Via Del Sur",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926914038",
            "country_code": "US",
            "telephone_number": "949-525-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ARTURO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.