Individual provider Active NPI

Suehaily Muniz-Gonzalez, RN, FNP

  • Family Nurse Practitioner
  • Vista, CA
National Provider Identifier
1851012363
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022588 Issued in CA
Practice address
1968 Via Ctr
Vista, CA 92081-6056
Phone
(321) 341-0049
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 818956 CA
Family Nurse Practitioner 363LF0000X 95022588 CA Primary

Addresses

Primary practice location

1968 Via Ctr
Vista, CA 92081-6056

Mailing address

472 Prosperity Dr
San Marcos, CA 92069-2074
Phone (714) 883-7531

Other practice location 1

3450 Bonita Rd Ste 205
Chula Vista, CA 91910-3250
Phone (619) 948-7530

Other practice location 2

400 S Melrose Dr
Vista, CA 92081-6681
Phone (760) 208-1447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95022588CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BL Anderson Medical Corporation CurrentSince Jul 29, 2023 Accepting new patients
Ace Mobile Nursing Provider Inc. PastSince Jan 1, 2021 Accepting new patients

Locations

10890 Thornmint Rd
San Diego, CA 92127
Phone (619) 407-8545

10890 Thornmint Rd
Ste 202
San Diego, CA 92127
Phone (855) 745-8400

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.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1851012363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 PROSPERITY DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692074",
            "telephone_number": "714-883-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "321-341-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Bonita Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919103250",
            "country_code": "US",
            "telephone_number": "619-948-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Melrose Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816681",
            "country_code": "US",
            "telephone_number": "760-208-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIZ-GONZALEZ",
        "first_name": "SUEHAILY",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "818956",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.