Individual provider Active NPI

Maria Isabel Gonzaga, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1821670068
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A202791 Issued in CA
Practice address
1100 N State Street
CT-a-7-D
Los Angeles, CA 90033
Phone
(323) 409-6931
Fax
(323) 441-8185
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP10075331 TX
Obstetrics & Gynecology Physician 207V00000X A202791 CA Primary

Addresses

Primary practice location

1100 N State Street
CT-a-7-D
Los Angeles, CA 90033

Mailing address

1100 N State Street
CT-a-7-D
Los Angeles, CA 90033
Phone (323) 409-6931

Other practice location 1

1301 W 38th St Ste 705
Austin, TX 78705-1016
Phone (512) 324-7036

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712001707 TX Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 1254876311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A202791CAMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: maria.isabel.gonzaga.1@8363.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1821670068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N STATE STREET",
            "address_2": "CT-A-7-D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-409-6931",
            "fax_number": "323-441-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N STATE STREET",
            "address_2": "CT-A-7-D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-409-6931",
            "fax_number": "323-441-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W 38th St Ste 705",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051016",
            "country_code": "US",
            "telephone_number": "512-324-7036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "MARIA ISABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10075331",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A202791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.