DR. MELVIN A. GONZALEZ (NPI# 1194721167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194721167 |
| Entity Type | Individual |
| Full Name | DR. MELVIN A. GONZALEZ |
| Credential | M.D. |
| Practice Address |
39700 Bob Hope Dr Suite # 203 Rancho Mirage CA 92270-3267 |
| Practice Telephone | 7603410889 |
| Practice Fax Number | 7603412903 |
| Mailing Telephone | 7603460642 |
| Mailing Fax Number | 7608378623 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G46612 | CA | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
46612 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | 060004805 | 01 |
| CA | 00G466120 | 05 | |
| CA | BLUE SHIELD PROV. # | 00G466120 | 01 |
| Street Address |
39700 BOB HOPE DR SUITE # 203 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548646987 | Newman Anesthesia | Nurse Anesthetist, Certified Registered | 39700 Bob Hope Dr, Suite 204, Rancho Mirage, CA 92270-3267 | 2015-08-07 |
| 1043534696 | Jaimini Jodhani | Internal Medicine | 39700 Bob Hope Dr, Suite 108, Rancho Mirage, CA 92270-3267 | 2010-03-24 |
| 1770717514 | Hughes Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 39700 Bob Hope Dr, Rancho Mirage, CA 92270-3267 | 2009-05-07 |
| 1659540599 | Vallari S Patel | Internal Medicine | 39700 Bob Hope Dr, Suite 108, Rancho Mirage, CA 92270-3267 | 2008-02-25 |
| 1194900324 | Stellar Medical Management, Inc. | Internal Medicine | 39700 Bob Hope Dr, Suite 110, Rancho Mirage, CA 92270-7103 | 2008-01-07 |
| 1770783276 | Marcos Antonio Suarez | Psychiatry & Neurology | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2007-07-23 |
| 1184821688 | Richard Wayne Brown | Dentist | 39700 Bob Hope Dr, Suite 215, Rancho Mirage, CA 92270-3267 | 2007-06-28 |
| 1730208059 | Roland D Reinhart | Anesthesiology | 39700 Bob Hope Dr, Suite 202, Rancho Mirage, CA 92270-3267 | 2007-03-28 |
| 1548396146 | Richard Stevan Bloom | Social Worker | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2007-02-26 |
| 1235216409 | Deneen Prince | Social Worker | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397182 | William A Stellar | Internal Medicine | 69730 Highway 111, Ste 116, Rancho Mirage, CA 92270-2869 | 2005-12-20 |
| 1174507040 | Abdallah Victor Kubbeh | Internal Medicine | 388 Loch Lomond Rd, Rancho Mirage, CA 92270-5606 | 2005-12-02 |
| 1235565920 | Ali Naderi Mahabadi | Internal Medicine | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2013-09-25 |
| 1134462039 | Sandy Park | Internal Medicine | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2013-03-29 |
| 1174840680 | Chanaka Dinesha Wickramasinghe | Internal Medicine | 39000 Bob Hope Drive, Hal B. Wallis Bldg, Rancho Mirage, CA 92270-3221 | 2010-04-23 |
| 1922120997 | Ryszard Skulski Md A Medical Corporation | Internal Medicine | 39000 Bob Hope Dr, Suite K-302, Rancho Mirage, CA 92270-3221 | 2007-04-03 |
| 1972666063 | Terri C. Coble, M.d., Inc. | Internal Medicine | 35900 Bob Hope Dr, Suite 230, Rancho Mirage, CA 92270-1766 | 2006-12-19 |
| 1407924996 | Surender Vuthoori Md Inc | Internal Medicine | 35280 Bob Hope Dr, Ste 100, Rancho Mirage, CA 92270 | 2006-12-01 |
| 1508964024 | Advanced Vein Therapeutics | Internal Medicine | 39000 Bob Hope Dr, K108, Rancho Mirage, CA 92270 | 2006-09-20 |
| 1407885403 | Andrew Dylan Frutkin | Internal Medicine | 39000 Bob Hope Dr, Hal B. Wallis Bldg., Rancho Mirage, CA 92270-3221 | 2006-07-02 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on DR. MELVIN A. GONZALEZ.
| 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.