Doral Renee Gonzales, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP 13815 Issued in CA

Practice address

930 Sunset Dr
Building # 3
Hollister, CA 95023-5780

Phone

(831) 636-2664

Fax

(831) 636-2641

NPI assigned

Jul 10, 2006

Last updated

Mar 30, 2008By 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 3

Addresses

Other names 1

• Ms. Doral Renee Gonzales Other name

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Rural Health Network Inc.

  • Rural Health Clinic/Center
  • Newman, CA
  • NPI 1366136665
  Medicare reassignment NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206835200000",
    "number": "1912931528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 VIA MILANO",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953229682",
            "telephone_number": "408-348-1894",
            "fax_number": "209-854-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNSET DR",
            "address_2": "BUILDING # 3",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235780",
            "telephone_number": "831-636-2664",
            "fax_number": "831-636-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DORAL",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 13815",
            "primary": true
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "CA",
            "license": "NM 1248",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "RN 348323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORAL",
            "last_name": "GONZALES",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Gipe, MFT
• Joseph Godbout, PA-C
• Matthew Joshua Gomez
• Shannon Lynn Gomez
• Yazmin Gomez, MD
• Gloria Gonzales
• Alejandro Gonzalez
• Cielo Mar Gonzalez, ACSW, PPSC-CWA
• Philip Alan Gosvener, PA-C
• April Govea

• Family Nurse Practitioner in Hollister, CA
• Providers in Hollister, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2008; 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.