Yoodiy A Gonzales, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14560 Issued in CA

Practice address

822 N Garey Ave
Pomona, CA 91767-4616

Phone

(909) 524-0555

Fax

(909) 524-0122

NPI assigned

Dec 29, 2006

Last updated

Jul 8, 2007By 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 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare Medical Clinic of Pomona IncGroup PAC ID 2961438387, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Healthcare Medical Clinic of Pomona Inc.

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1205961034
  Medicare reassignment Care Compare group
• Imd Medical Group Inc

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1508804006
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942366281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674616",
            "telephone_number": "909-524-0555",
            "fax_number": "909-524-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674616",
            "telephone_number": "909-524-0555",
            "fax_number": "909-524-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "YOODIY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA14560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Lorrraine Gonzales
• Dominique Gonzales
• Joseph Andrew Gonzales
• Mareiya Ale'Zai Gonzales, PA-C
• Maria Veronica Gonzales
• Regina Gonzalez Braniff
• Naomi Deyanira Gonzalez Chavarria
• Nancy Gonzalez Garay
• David Gonzalez Luna
• Sergio Gonzalez Yanez

• Physician Assistant in Pomona, CA
• Providers in Pomona, CA by specialty
• Physician Assistant 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.