Carlos Gonzalez, PT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT335000 Issued in CA

Practice address

754 N Mountain Ave
Ontario, CA 91762-2544

Phone

(909) 460-4155

Fax

(909) 988-4414

NPI assigned

Mar 31, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthpointe Medical Group, Inc.

  • Specialist
  • Anaheim, CA
  • NPI 1548201304
  Medicare reassignment
• Healthpointe Medical Group, Inc.

  • Specialist
  • Ontario, CA
  • NPI 1740221472
  Medicare reassignment
• Healhtpointe Medical Group, Inc.

  • Specialist
  • Irwindale, CA
  • NPI 1508034885
  NPD

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861664765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "714-361-5360",
            "fax_number": "714-635-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N MOUNTAIN AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917622544",
            "telephone_number": "909-460-4155",
            "fax_number": "909-988-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "PT.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT335000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CZ965Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Gonzalez
• Breanna Marie Gonzalez, BS
• Briana Gonzalez
• Brittany Rene Gonzalez
• Carlos Gonzalez
• Chriscelle Gonzalez
• Evelyn Gonzalez
• Francis Gonzalez, B.A.
• Genesis Angel Gonzalez
• Gennelle Gonzalez

• Physical Therapist in Ontario, CA
• Providers in Ontario, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.