Active NPI
Suehaily Muniz-Gonzalez, RN, FNP
- Family Nurse Practitioner
- Vista, CA
National Provider Identifier
1851012363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95022588
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022588 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BL Anderson Medical Corporation | Current | Accepting new patients | |
| Ace Mobile Nursing Provider Inc. | Past | 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.
-
- Family Medicine Physician
- San Diego, CA
- NPI 1821627639
-
- Nurse Practitioner
- Chula Vista, CA
- NPI 1386273316
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.