Active NPI
Sir Arnold Mangalindan Gonzalez, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024168970
- Practice address
- 500 J Clyde Morris Blvd
Newport News, VA 23601-1929 - Phone
- (757) 594-3005
- Fax
- (703) 295-9369
- NPI assigned
- Nov 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024168970 | VA | Primary |
Addresses
Primary practice location
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Mailing address
PO Box 37090
Baltimore, MD 21297-3090
Phone (703) 295-9360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
828 Healthy Way
Suite 115
Virginia Beach, VA 23462-7958
Phone (757) 495-8070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168970 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients |
Locations
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878
828 Healthy Way
Ste 115
Virginia Beach, VA 23462
Phone (757) 388-6200
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1619149648
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1194488791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1831490101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37090",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973090",
"telephone_number": "703-295-9360",
"fax_number": "703-295-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-594-3005",
"fax_number": "703-295-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SIR ARNOLD",
"middle_name": "MANGALINDAN",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024168970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.