NPIMap

Individual provider Active NPI

John Alexander Gonzales, M.D.

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1881852366
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
266959 Issued in NY
Practice address
3332 Rochambeau Ave
Third Floor
Bronx, NY 10467-2836
Phone
(718) 920-2020
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A117305 CA
Ophthalmology Physician 207W00000X 266959 NY Primary

Addresses

Primary practice location

3332 Rochambeau Ave
Third Floor
Bronx, NY 10467-2836

Mailing address

3332 Rochambeau Ave
Third Floor
Bronx, NY 10467-2836
Phone (718) 920-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000204 CA Practitioner - Ophthalmology 3678741188 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
117305CAMDMarriage & Family Therapist
A117305CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
Regents of the University of California CurrentSince Sep 28, 2013 Accepting new patients
University of California San Francisco CurrentSince Jul 15, 2011 Accepting new patients
University of California San Francisco CurrentSince Jul 15, 2011 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 30, 2011 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
UCSF Medical Group Business Services Ophthalmology CurrentSince Jul 15, 2011 Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jun 30, 2011 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 15, 2011 Accepting new patients
Regents of the University of California Past Accepting new patients
Montefiore Medical Center Ophthalmology Past Accepting new patients
New York Westchester SQ Med Ctr Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1881852366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 ROCHAMBEAU AVE",
            "address_2": "THIRD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672836",
            "telephone_number": "718-920-2020",
            "fax_number": "718-881-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 ROCHAMBEAU AVE",
            "address_2": "THIRD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672836",
            "telephone_number": "718-920-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A117305",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "266959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.