Individual provider Active NPI

Miguel Abelino Gonzalez, M.D.

  • Pulmonary Disease Physician
  • Thousand Oaks, CA
National Provider Identifier
1902808959
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G51766 Issued in CA
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

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
51766CAMDMarriage & Family Therapist
G51766CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menteer Internal Medicine, Inc. CurrentSince Mar 1, 2014 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. PastSince Jun 1, 2004 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.