Michael Anthony Gonzales, CRNA, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

674062 Issued in CA

Practice address

811 S Maxine St
Santa Ana, CA 92704-1827

Phone

(714) 724-5035

NPI assigned

Feb 2, 2010

Sex

Male

Sole proprietor

Yes

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280

  CA

  Medicare reassignment Care Compare group NPD
• Apa Medical Group, Inc.

  • Anesthesiology Physician
  • Camarillo, CA
  • NPI 1700596111

  CA

  Medicare reassignment NPD
• HP Anesthesia Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1992133474

  CA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Innovative Minimally Invasive Imaging & Therapeutics, Inc

  • Vascular & Interventional Radiology Physician
  • Rancho Cucamonga, CA
  • NPI 1952758849

  CA

  Medicare reassignment NPD
• Westside Anesthesia Services

  • Anesthesiology Physician
  • Manhattan Beach, CA
  • NPI 1528381704

  CA

  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Care Compare group
• Southern California Permanente Medical Group

  • Clinical Medical Laboratory
  • N Hollywood, CA
  • NPI 1891873303
  Care Compare group
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Woodland Hills, CA
  • NPI 1952333478
  Care Compare group
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Harbor City, CA
  • NPI 1598797011
  NPD
• Apmc Medical Group Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1184592982
  NPD (past)
• National Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Los Gatos, CA
  • NPI 1649500950
  NPD (past)

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical Group 11,250 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 33)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2021.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1831421759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S MAXINE ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041827",
            "telephone_number": "714-724-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S MAXINE ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041827",
            "telephone_number": "714-724-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "CRNA, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3958",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "674062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney May Gonzales
• James Albert Gonzales Jr.
• Janelle Gonzales
• Keila Merari Gonzales, RN
• Maria Faye Pedrosa Gonzales
• Michele Marion Gonzales, NP
• Nicholas Gonzales
• Patrick L Gonzales, BEHAVIOR THERAPIST
• Perla Gonzales
• Robert Peter Gonzales, O.D.

• All providers in Santa Ana, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.