Cecilio Parrocha Gonzales Jr., APRN,FNP-C, PMHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

002915 Issued in NV

Practice address

2820 W Charleston Blvd Ste D40
Las Vegas, NV 89102-1942

Phone

(725) 205-0288

Fax

(725) 204-9792

NPI assigned

Apr 21, 2016

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, NV2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soran Health Nevada Navar PLLCGroup PAC ID 9739679937, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alpine Home Health, Inc Home health agency, Las Vegas, NV, CCN 297246

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HECBED/Endpoint/HECBED
• FHIR API: https://fhir4.healow.com/fhir/r4/IIEDDD/Endpoint/IIEDDD

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.

• Ark Medical of Las Vegas LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1073394748
  Medicare reassignment NPD Authorized official
• Mercy Medical and Behavioral Inc

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1790672491

  Family

  Medicare reassignment NPD Authorized official
• Soran Health Nevada (Navar), PLLC

  dba Desert Lotus Medical Center

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1144081118
  Medicare reassignment Care Compare group
• Hope Medical of New York, PC

  • Specialist
  • Brooklyn, NY
  • NPI 1841455854
  Medicare reassignment NPD
• Cfcorporate LLC

  dba Complete Family Care

  • Family Medicine Physician
  • North Las Vegas, NV
  • NPI 1932808821
  NPD
• Sahara West Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1659840585
  NPD (past)
• Talbert Medical Group

  • Health Maintenance Organization
  • Costa Mesa, CA
  • NPI 1497759005
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alpine Home Health, Inc

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1124568464
  Care Compare affiliation

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1871947291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 SLIPPER ORCHID ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482616",
            "telephone_number": "619-259-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE D40",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021942",
            "telephone_number": "725-205-0288",
            "fax_number": "725-204-9792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7521 Slipper Orchid St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482616",
            "country_code": "US",
            "telephone_number": "619-259-7118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2775 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465631",
            "country_code": "US",
            "telephone_number": "702-685-3300",
            "fax_number": "702-586-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CECILIO",
        "middle_name": "PARROCHA",
        "name_suffix": "Jr.",
        "credential": "APRN,FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F95003567",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340204-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "002915",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "2169",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "002915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250010762",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871947291",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arely Gonzales
• Becky R Gonzales, APN
• Caasi Gonzales, APRN
• Candice Marie Gonzales
• Carter Gonzales
• Christine Gonzales
• Cindy Gonzales
• Cinthia Gonzales
• Claudia Gonzales
• Delia Gonzales

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.