Individual provider Active NPI

Angela Kay Gonzalez

  • Medical Physician Assistant
  • Mission, TX
National Provider Identifier
1811628548
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA16847 Issued in TX
Practice address
104 S Bryan Rd
Mission, TX 78572-6218
Phone
(956) 585-1691
Fax
(956) 585-6058
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA16847 TX Primary

Addresses

Primary practice location

104 S Bryan Rd
Mission, TX 78572-6218

Mailing address

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

Other practice location 1

1901 S 1st St Ste 500
McAllen, TX 78503-1223
Phone (956) 631-5395

Other identifiers 1

IdentifierTypeStateIssuer
PA16847OtherTXTEXAS PHYSICIAN ASSISTANT BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231002003422 TX Practitioner - Physician Assistant 9830543396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monzer H Yazji MD and Associates PLLCGroup PAC ID 2062470529, 83 clinicians

Practice addresses (Care Compare)

1200 E Savannah Ave
Suite 19
McAllen, TX 78503-1728
Phone (956) 928-1909

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA16847TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC CurrentSince Sep 1, 2023 Accepting new patients
McAllen Hospitalist Group, PLLC Past Accepting new patients

Locations

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

1200 E Savannah Ave
Ste 109
McAllen, TX 78503

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

1901 S 1st St
Ste 500
McAllen, TX 78503
Phone (956) 631-5395

1200 E Savannah Ave
Ste 19
McAllen, TX 78503
Phone (956) 928-1909

1920 E Griffin Pkwy
Mission, TX 78572
Phone (956) 584-3353

104 S Bryan Rd
Mission, TX 78572
Phone (956) 271-4950

Interoperability endpoints

  • Direct secure messaging: angela.gonzalez@415054778073092.direct.elationemr.com
  • Direct secure messaging: angela.gonzalez.1@33464.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1811628548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726218",
            "telephone_number": "956-585-1691",
            "fax_number": "956-585-6058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S 1st St Ste 500",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031223",
            "country_code": "US",
            "telephone_number": "956-631-5395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA16847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICIAN ASSISTANT BOARD",
            "identifier": "PA16847",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.