Samantha Gonzalez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7209 Issued in AZ

Practice address

13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032

Phone

(623) 777-4747

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Cazares Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Novaspine Pain Institute PLCGroup PAC ID 9931323359, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Novaspine Pain Institute, PLC

  • Pain Medicine Physician
  • Sun City West, AZ
  • NPI 1154745263

  AZ

  Medicare reassignment Care Compare group
• Arizona Spine and Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Glendale, AZ
  • NPI 1336552140

  AZ

  Medicare reassignment NPD
• Novaspine Pain Institute, PLC

  • Pain Medicine Physician
  • Sun City West, AZ
  • NPI 1265233019
  Care Compare group NPD
• Novaspine Pain Institute, PLC

  • Durable Medical Equipment & Medical Supplies
  • Sun City, AZ
  • NPI 1124579628
  Care Compare group
• Arizona Spine and Pain Specialists LLC

  • Durable Medical Equipment & Medical Supplies
  • Sun City West, AZ
  • NPI 1871124206
  NPD
• Elite Anesthesia LLC

  • Anesthesiology Physician
  • Paducah, KY
  • NPI 1215608096
  NPD (past)

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1891263752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5068",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765068",
            "telephone_number": "623-777-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE STE H5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513032",
            "telephone_number": "623-777-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 W Thomas Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373382",
            "country_code": "US",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5281 N 99th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853052209",
            "country_code": "US",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 W Bell Rd Ste F101",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088535",
            "country_code": "US",
            "telephone_number": "602-795-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CAZARES",
            "credential": "SAMANTHA CAZARES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Joseph Gomez, M.D.
• Krista Kaye Gomez, FNP
• Gonstead Family Chiropractic
• Maria E Gonzalez Berlari, MD
• Nadine Rose Gonzalez, FNP-C
• Tomas Gonzalez
• Jonathan Goodman, MD
• Seth M Goodman, DO
• Hal Gordon, M.D.
• Andrew Gorman, DO

• All providers in Sun City, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.