Marco Antonio Gonzalez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

15034 Issued in CA

Practice address

1560 E Manning Ave
Reedley, CA 93654

Phone

(559) 638-2019

Fax

(559) 638-2136

NPI assigned

Feb 23, 2011

Sex

Male

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marco.gonzalez.1@17661.direct.athenahealth.com

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.

• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Reedley, CA
  • NPI 1528478211
  NPD (past)

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1922305192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 790",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936482639",
            "telephone_number": "559-876-6703",
            "fax_number": "559-876-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E MANNING AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "93654",
            "telephone_number": "559-638-2019",
            "fax_number": "559-638-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauricio Digenes Gaytan, M.D.
• Tamyra D Glass, MD
• Cecilia Gonzalez
• Edith F Gonzalez
• Elida Gonzalez, N.P.
• Matias Gonzalez
• Tammy Lee Gonzalez, PA
• Stephanie Anne Grant
• Marlene Guerrero, APRN, NP-C
• Yanelli Guerrero, DPT

• Optometrist in Reedley, CA
• Providers in Reedley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.