Ancizar Gonzalez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106499 Issued in FL

Practice address

1600 NE 1St Ave Apt 3220
Miami, FL 33132-1280

Phone

(561) 281-8132

NPI assigned

Jan 3, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Family Medical Group Kendall LLCGroup PAC ID 2961763586, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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 Medical Group Kendall, LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1588100127
  Medicare reassignment Care Compare group
• Criticare Clinics Inc

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1508871948
  Medicare reassignment
• Urgent Care Physicians of Country Walk LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1689838849
  Medicare reassignment
• Urgent Care Physicians of Palmetto Bay LLC

  • General Practice Physician
  • Palmetto Bay, FL
  • NPI 1740403914
  Medicare reassignment
• Urgent Care Physicians of Tamiami LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1639381965
  Medicare reassignment
• Baptist Health Urgent Care Weston

  • Emergency Care Clinic/Center
  • Weston, FL
  • NPI 1669846523
  NPD (past)
• Emergency Physician Solutions of South Florida, LLC

  • Emergency Medicine Physician
  • Atlantis, FL
  • NPI 1609298181

  Physician Assistant

  NPD (past)
• Family Medical Clinic Kendall LLC

  • Multi-Specialty Clinic/Center
  • Homestead, FL
  • NPI 1821579384
  NPD (past)
• Neuroscience Consultants LLP

  • Specialist
  • Medley, FL
  • NPI 1346217452
  NPD (past)
• Pedem PLLC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Miami, FL
  • NPI 1598027302
  NPD (past)

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1871897009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR STE 402",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435198",
            "telephone_number": "305-669-2833",
            "fax_number": "305-669-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NE 1ST AVE APT 3220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321280",
            "telephone_number": "561-281-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANCIZAR",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9105709",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Gonzalez, CRT
• Ana Milagros Gonzalez, APRN
• Anabel Gonzalez, ARNP
• Anaily Gonzalez
• Anallensy Gonzalez, RBT
• Andre Gonzalez
• Andre Josue Gonzalez, A.T.C.
• Andrea V Gonzalez, M.S.
• Andrew Gonzalez, CRNA
• Andrew Mauricio Gonzalez, ATC, LAT

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.