Bertha Alicia Gonzalez, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6849 Issued in CA

Practice address

3106 W Beverly Blvd
Montebello, CA 90640-2217

Phone

(323) 728-1845

NPI assigned

Oct 4, 2006

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

College of Osteo Med of the Pacific at Pomona, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Quality Home Health Care, Inc Home health agency, Covina, CA, CCN 557478
• SGV Home Health Home health agency, Montebello, CA, CCN 059689
• Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
• Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25347/brand/1/csg/1/fhir/r4
• Direct secure messaging: bertha.gonzalez.1@25347.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bertha a Gonzalez DO, Inc

  dba N/a

  • Exclusive Provider Organization
  • Montebello, CA
  • NPI 1841477767
  Medicare reassignment NPD Authorized official
• Republic Medical Clinic PC

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1861361537
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Monterey Park Hospital LP

  dba Monterey Park Hospital

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  Care Compare affiliation
• New Age Enterprises

  dba Manale Occupational & Physical Therapy

  • Occupational Therapist
  • Downey, CA
  • NPI 1417227554

  Home health agency

  Care Compare affiliation
• New Age Enterprises

  dba SGV Home Health

  • Home Health Agency
  • Montebello, CA
  • NPI 1871998492
  Care Compare affiliation
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  Care Compare affiliation
• Quality Home Health Care, Inc.

  • Home Health Agency
  • West Covina, CA
  • NPI 1104885318
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932295680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 W BEVERLY",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-728-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402217",
            "telephone_number": "323-728-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BERTHA",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A6849",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Gonzales
• Monique Alexandria Gonzalez-Johnson, MD
• Alexiss Gonzalez, BA
• Andrew Gonzalez
• Andy Gonzalez
• Carlos R. Gonzalez, M.D.
• Danny Gonzalez
• Hector Aurelio Gonzalez, M.D.
• Ivan Gonzalez
• Janz Gonzalez, DDS

• Family Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.