Active NPI
Henry Gonzalez, M.D.
- Anesthesiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G56342
- Practice address
- 920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4351
- Fax
- (405) 271-8695
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 40528 | OK | |
| Surgical Assistant | 246ZC0007X | |||
| Anesthesiology Physician | 207L00000X | G56342 | CA | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036
Mailing address
PO Box 26901
Oklahoma City, OK 73126-0901
Phone (405) 271-4351
Other practice location 1
999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 920-4848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G563420 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-2440
Hospital & facility affiliations
- Arrowhead Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.66 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G56342 | CA | MD | Anesthesiology Physician |
| 40528 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Empire Anesthesia Medical Group, Inc | Anesthesiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Anesthesiology | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Oak Creek Anesthesia Services, Inc. | Anesthesiology | Current | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
400 N Pepper Ave
Fl 2
Colton, CA 92324
Phone (909) 580-2440
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Rm F2027
Moreno Valley, CA 92555
Phone (909) 486-4574
255 E Bonita Ave
Bldg 3B
Pomona, CA 91767
Phone (909) 257-0600
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
920 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-5251
920 Stanton L Young Blvd
Ste 1140
Oklahoma City, OK 73104
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Interoperability endpoints
- casacolina@direct.casacolina.org
- hgonzalez135935@direct.llu.edu
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Colton, CA
- NPI 1861502841
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Anesthesiology Physician
- Visalia, CA
- NPI 1619589512
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
-
- Surgery Physician
- Riverside, CA
- NPI 1013967405
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Anesthesiology
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1992749303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26901",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731260901",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD STE 1140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
}
],
"practiceLocations": [
{
"address_1": "999 San Bernardino Rd",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917864920",
"country_code": "US",
"telephone_number": "909-920-4848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "40528",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G56342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G563420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.