Organization Active NPI

Arlene C Gonzales M D Inc

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1821277047
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G67298 Issued in CA
Legal business name
ARLENE C GONZALES M D INC
Practice address
722 E Chapel St
Santa Maria, CA 93454-4524
Phone
(805) 928-9600
Fax
(805) 928-9622
NPI assigned
Oct 25, 2007
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. Arlene C Gonzales, M.D.NPI 1154432847
Title
Physician
Phone
(805) 928-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G67298 CA Primary

Addresses

Primary practice location

722 E Chapel St
Santa Maria, CA 93454-4524

Mailing address

722 E Chapel St
Santa Maria, CA 93454-4524
Phone (805) 928-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080204000507 CA Part B Supplier - Clinic/Group Practice 2466534060 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

261 W Dana St
Nipomo, CA 93444
Phone (805) 929-2272

722 E Chapel St
Santa Maria, CA 93454
Phone (805) 928-9600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1821277047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544524",
            "telephone_number": "805-928-9600",
            "fax_number": "805-928-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544524",
            "telephone_number": "805-928-9600",
            "fax_number": "805-928-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLENE C GONZALES M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-928-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.