Individual provider Active NPI

Virginia Yajaira Gonzalez, M.D.

  • Cardiovascular Disease Physician
  • West Monroe, LA
National Provider Identifier
1831272350
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11314R Issued in LA
Practice address
402 McMillan Road
West Monroe, LA 71291-5326
Phone
(318) 338-3540
Fax
(318) 335-3542
NPI assigned
Oct 21, 2006
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11314R LA Primary

Addresses

Primary practice location

402 McMillan Road
West Monroe, LA 71291-5326

Mailing address

1868 Forsythe Ave Ste 333 PMB
Monroe, LA 71201-3540
Phone (318) 338-3540

Other identifiers 1

IdentifierTypeStateIssuer
1667781MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070831000399 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466545769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Diagnostic CenterGroup PAC ID 1759456676, 4 clinicians

Practice addresses (Care Compare)

254 Hwy 3048
Rayville, LA 71269-3624
Phone (318) 728-4181

402 McMillan Rd
West Monroe, LA 71291-5326
Phone (318) 338-3540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11314RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Parish Hospital Service District No. 1-B CurrentSince Mar 21, 2023 Accepting new patients
Richland Parish Hospital Service District No 1-B CurrentSince Mar 21, 2023 Accepting new patients
St Francis Medical Center, Inc CurrentSince Apr 6, 2007 Accepting new patients
St. Francis Medical Center, Inc. CurrentSince Apr 6, 2007 Accepting new patients
Cardiovascular Diagnostic Center Cardiovascular Disease CurrentSince Jun 16, 2008 Accepting new patients
Affinity Health Group, LLC Cardiovascular Disease Past Accepting new patients
Franklin Parish Hospital PastSince Jun 16, 2008 Accepting new patients
St Francis Specialty Hospital,Inc Past Accepting new patients

Locations

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

3421 Medical Park Dr
Monroe, LA 71203
Phone (318) 327-4686

920 Oliver Rd
Ste B
Monroe, LA 71201
Phone (318) 327-6201

161 Christian Dr
Rayville, LA 71269
Phone (318) 661-3030

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

102 Thomas Rd
Ste 118
West Monroe, LA 71291
Phone (318) 281-2008

402 McMillan Rd
West Monroe, LA 71291
Phone (318) 338-3540

2106 Loop Rd
Ste H
Winnsboro, LA 71295
Phone (318) 338-3540

Organizations & group practices 8

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 5

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1831272350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 FORSYTHE AVE STE 333 PMB",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013540",
            "telephone_number": "318-338-3540",
            "fax_number": "318-335-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MCMILLAN ROAD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915326",
            "telephone_number": "318-338-3540",
            "fax_number": "318-335-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VIRGINIA",
        "middle_name": "YAJAIRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "11314R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1667781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.