NPIMap

Individual provider Active NPI

Charlotte Veronica Gonzales, M.D.

  • Internal Medicine Physician
  • San Carlos, CA
National Provider Identifier
1891758892
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A86661 Issued in CA
Practice address
1186 Brittan Ave
San Carlos, CA 94070-3929
Phone
(650) 591-2675
Fax
(650) 591-7452
NPI assigned
Apr 10, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A86661 CA Primary

Addresses

Primary practice location

1186 Brittan Ave
San Carlos, CA 94070-3929

Mailing address

1186 Brittan Ave
San Carlos, CA 94070-3929
Phone (650) 591-2675

Other names 1

  • Ms. Charlotte Veronica Flores Former name

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
I20040630000470 CA Practitioner - Internal Medicine 5193702900 Practice locations: Redwood City, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2950 Whipple Ave
Suite 3
Redwood City, CA 94062-2842
Phone (650) 591-2675

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Health Services Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1891758892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 BRITTAN AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703929",
            "telephone_number": "650-591-2675",
            "fax_number": "650-591-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 BRITTAN AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703929",
            "telephone_number": "650-591-2675",
            "fax_number": "650-591-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CHARLOTTE",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A86661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "FLORES",
            "middle_name": "VERONICA",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.