Kimberly Gonzalez, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95011159 Issued in CA

Practice address

565 Kern St
Shafter, CA 93263-2133

Phone

(661) 459-1000

NPI assigned

Mar 6, 2019

Last updated

Mar 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vanguard Medical Corporation

  dba Shafter Rural Healthcare Clinic

  • Rural Health Clinic/Center
  • Shafter, CA
  • NPI 1609281310
  Medicare reassignment NPD
• Vanguard Medical Corporation

  • Rural Health Clinic/Center
  • Wasco, CA
  • NPI 1164270807
  NPD
• Vanguard Medical Corporation

  • Rural Health Clinic/Center
  • Wasco, CA
  • NPI 1558801829
  NPD

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1902364151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 KERN ST",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932632133",
            "telephone_number": "661-459-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 KERN ST",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932632133",
            "telephone_number": "661-459-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 7th St",
            "address_purpose": "LOCATION",
            "city": "Wasco",
            "state": "CA",
            "postal_code": "932801919",
            "country_code": "US",
            "telephone_number": "661-459-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KIMBERLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95011159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia E Garcia, DC
• Sabi Y Garcia, RRT, RCP
• Desiree Garza
• Glinn and Giordano Physical Therapy Inc.
• Bernadette Lynne Advincula Gonzalez, PT, DPT
• Good Samaritan Hospital Ca LTD PTP
• Grow Public Schools
• Sophia Medina Guerra
• Harmonia Birth Doula LLC
• Angela D Hernandez

• Primary Care Nurse Practitioner in Shafter, CA
• Providers in Shafter, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.