Active NPI
Miguel Abelino Gonzalez, M.D.
- Pulmonary Disease Physician
- Thousand Oaks, CA
National Provider Identifier
1902808959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G51766
- Practice address
- 303 S Moorpark Rd
Thousand Oaks, CA 91361-1084 - Phone
- (805) 497-7508
- Fax
- (805) 371-4200
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G51766 | CA | Primary |
Addresses
Primary practice location
303 S Moorpark Rd
Thousand Oaks, CA 91361-1084
Mailing address
303 S Moorpark Rd
Thousand Oaks, CA 91361-1084
Phone (805) 497-7508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51766 | CA | MD | Marriage & Family Therapist |
| G51766 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menteer Internal Medicine, Inc. | Current | Accepting new patients | |
| Lawrence a. Baker MD a Professional Medical Corporation | Pulmonary Disease | Current | Accepting new patients |
| Paul R. Block, MD a Medical Corporation | Pulmonary Disease | Past | Accepting new patients |
| Regal Medical Group, Inc. | Past | Accepting new patients |
Locations
227 W Janss Rd
Ste 305
Thousand Oaks, CA 91360
Phone (805) 449-4181
227 W Janss Rd
Ste 250
Thousand Oaks, CA 91360
Phone (805) 497-7508
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Thousand Oaks, CA
- NPI 1710192018
-
- Internal Medicine Physician
- Thousand Oaks, CA
- NPI 1902221674
-
- Pulmonary Disease Physician
- Thousand Oaks, CA
- NPI 1861687857
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1588748073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1902808959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S MOORPARK RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611084",
"telephone_number": "805-497-7508",
"fax_number": "805-371-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S MOORPARK RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611084",
"telephone_number": "805-497-7508",
"fax_number": "805-371-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MIGUEL",
"middle_name": "ABELINO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G51766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.