Casimiro Gonzalez, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A66511 Issued in CA

Practice address

4566 Florence Ave
#3
Cudahy, CA 90201-4345

Phone

(323) 562-0055

NPI assigned

Sep 16, 2006

Last updated

Jun 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

University of California, San Diego School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: casimiro.gonzalez.p1@direct.atlantiseyecare.nextgenshare.com

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.

• Buena Vista Eye Medical Center Inc.

  • Ophthalmology Physician
  • Bell, CA
  • NPI 1861537961
  Medicare reassignment Authorized official
• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment
• Ahmc Greater El Monte Comm Hosp LLC

  dba Greater El Monte Comm Hosp

  • Community/Retail Pharmacy
  • South El Monte, CA
  • NPI 1922115526
  NPD (past)
• Brotman Medical Center, Inc.

  • Skilled Nursing Facility
  • Culver City, CA
  • NPI 1518997733

  Ophthalmology

  NPD (past)
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Culver City

  • Psychiatric Hospital Unit
  • Culver City, CA
  • NPI 1487905725
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1851497911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 FLORENCE AVE",
            "address_2": "SUITE 3",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902014345",
            "telephone_number": "323-562-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 FLORENCE AVE",
            "address_2": "#3",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902014345",
            "telephone_number": "323-562-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CASIMIRO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A66511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A66511",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A665111",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Fong
• Foster Jr, Charles L, DDS Inc
• Charles Lionel Foster Jr., DDS
• Oscar Galindo
• Bianne Stephen U Go, NP
• Harriet L Gonzalez, AA
• Leticia Keusayan Gonzalez, PA-C
• Gloria Granados Avila, LCSW
• Luis Eduardo Guzman, DENTAL ASSISTANT
• Tanya Guzman

• Ophthalmology Physician in Cudahy, CA
• Providers in Cudahy, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.
• 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.