MARCO A. GONZALEZ (NPI# 1174636229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174636229 |
| Entity Type | Individual |
| Full Name | MARCO A. GONZALEZ |
| Credential | M.D. |
| Practice Address |
1400 E Palomar St Chula Vista CA 91913-1800 |
| Practice Telephone | 8584992600 |
| Practice Fax Number | 6193973386 |
| Mailing Telephone | 8584992600 |
| Mailing Fax Number | 6193973386 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A76308 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | A76308 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A763080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427675081 | Marco A Gonzalez | Behavior Technician | 14941 Sw 82nd Ter Apt 101, Miami, FL 33193-1499 | 2020-06-30 |
| 1740800861 | Marco Gonzalez | Massage Therapist | 15790 Dooley Rd Ste 200, Addison, TX 75001-5722 | 2020-04-18 |
| 1710216130 | Marco Antonio Gonzalez | Plastic Surgery | 7825 N Mesa St, El Paso, TX 79932-1623 | 2009-12-14 |
| 1497188312 | Marco Gonzalez | Counselor | 921 W Avenue J Ste C, Lancaster, CA 93534-3443 | 2013-08-14 |
| 1922305192 | Marco Antonio Gonzalez | Optometrist | 1560 E Manning Ave, Reedley, CA 93654 | 2011-02-23 |
| 1730322116 | Marco Alejandro Gonzalez | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2009-04-14 |
| 1992733935 | Marco L Gonzalez | Internal Medicine | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-06-29 |
| 1821074683 | Marco Tulio Gonzalez | Pediatrics | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2005-12-22 |
| Street Address |
1400 E PALOMAR ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91913-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823929 | Farschad K Birdjandi | Internal Medicine | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2005-09-29 |
| 1932662707 | David Chung | Physical Therapist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2019-04-09 |
| 1487170494 | Ashley See | Physical Therapist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2017-08-22 |
| 1891145249 | Rhian Hardee | Speech-Language Pathologist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2016-06-16 |
| 1154708378 | Susy Grajeda Tsuruta | Pediatrics | 1400 E Palomar St, Chula Vista, CA 91913 | 2015-04-27 |
| 1568859411 | Sheri Ann Borbon Cameron | Internal Medicine | 1400 E Palomar St, Chula Vista, CA 91913 | 2015-04-17 |
| 1457743080 | Jerald Lee Nickelson | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2015-02-18 |
| 1700284817 | Jocelyn Tam | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-05 |
| 1023416104 | Richard Bonnoront | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-05 |
| 1003213141 | Michael Elyea | Pharmacist | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774342 | Tiffany Sheffield | Physical Therapist | 1392 E Palomar Street, Suite 503, Chula Vista, CA 91913 | 2019-08-05 |
| 1710457379 | Jacqueline Rae Dagostino | Physical Therapist | 1392 E Palomar St Suite 503, Chula Vista, CA 91913 | 2018-11-27 |
| 1750806840 | Evette Pablo | Registered Nurse | 904 Saint Germain Road, Chula Vista, CA 91913 | 2017-08-09 |
| 1760912364 | Ferdinand San Jose | Registered Nurse | 1954 Marquis Court, Chula Vista, CA 91913 | 2017-06-15 |
| 1447640693 | Ian Christopher So Ignacio | Occupational Therapy Assistant | 1575 Golden Gate Ave, Chula Vista, CA 91913 | 2015-01-27 |
| 1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
| 1801232236 | Edgar N Ibay | Military Health Care Provider | 1992 Caminito De La Cruz, Chula Vista, CA 91913 | 2013-05-13 |
| 1699093765 | Medical Logistics Management Inc. | Ambulance | 3130 Bonita Rd., Chula Vista, CA 91913 | 2010-05-13 |
| 1295066959 | Candice Aquino Claudio | Physical Therapist | 1400 E. Palomar, Chula Vista, CA 91913 | 2010-01-20 |
| 1417136128 | Alshafie Mohamed Hassan | Internal Medicine | 1400 East Palomar Street, Chula Vista, CA 91913 | 2007-10-30 |
| Find all providers in zip 91913 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588197826 | Miguel Alvarez-estrada | Family Medicine | 480 Fourth Ave Ste 403, Chula Vista, CA 91910-4413 | 2017-04-04 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| 1285088013 | Yelennia Palacios | Family Medicine | 480 4th Ave Ste 403, Chula Vista, CA 91910-4413 | 2016-04-18 |
| 1437554979 | Martin Kabongo, M.d., Apc | Family Medicine | 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910-7865 | 2014-10-27 |
| 1396167813 | Mohammed K Elsayed A Proffesional Corporation | Family Medicine | 330 Oxford St Ste 106, Chula Vista, CA 91911-3118 | 2014-01-17 |
| 1760702237 | Jean Rizkallah, Md, Inc | Family Medicine | 450 Fourth Ave., Ste 408, Chula Vista, CA 91910-4430 | 2010-06-08 |
| 1174841936 | Jean Rizkallah, Md | Family Medicine | 450 Fouth Ave, Ste 407, Chula Vista, CA 91910-0000 | 2010-05-04 |
| 1033341409 | Andrew J Pasetti | Family Medicine | 644 Naples Street, Toc Chula Vista, Chula Vista, CA 91911 | 2009-08-18 |
| 1831328616 | Marina Udowenko | Family Medicine | 450 Fourth Ave Ste 408, Chula Vista, CA 91910-4430 | 2009-07-14 |
| 1982840518 | Rebecca Smith, Md, Medical Corporation | Family Medicine | 272 Salinas Dr Unit 165, Chula Vista, CA 91914-0444 | 2009-01-03 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91913 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.