MICHAEL JOSE GONZALES (NPI# 1285296657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285296657 |
| Entity Type | Individual |
| Full Name | MICHAEL JOSE GONZALES |
| Credential | DPT |
| Practice Address |
4640 Admiralty Way Ste 420 Marina Del Rey CA 90292-6617 |
| Mailing Address |
14153 Victory Blvd Apt 212 Van Nuys CA 91401-1941 |
| Practice Telephone | 4245265151 |
| Practice Fax Number | 4248356475 |
| Mailing Telephone | 8477365183 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
296722 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124184 | Michael Xavier Gonzales | Student in an Organized Health Care Education/Training Program | 6401 Maple Ave Apt 8307, Dallas, TX 75235-5544 | 2019-03-21 |
| 1205217908 | Michael Gonzales | Internal Medicine | San Antonio Military Medical Center, 959 Csps/sgvt, Pulmonary and Critical Care Medi, 3551 Roger Brooke Dr., Jbsa - Fort Sam Houston, TX 78234-4504 | 2015-06-18 |
| 1831421759 | Michael Anthony Gonzales | Registered Nurse | 811 S Maxine St, Santa Ana, CA 92704-1827 | 2010-02-02 |
| 1306097951 | Michael Gonzales | Acupuncturist | 102 Towne Centre Dr, Hillsborough, NJ 08844-4688 | 2008-10-01 |
| 1508413006 | Michael Anthony Gonzales | Chiropractor | 734 Broadway, Bayonne, NJ 07002-4274 | 2019-08-20 |
| 1922664291 | Michael Gonzales | Behavior Technician | 290 S Alma School Rd, Chandler, AZ 85224-7632 | 2019-05-13 |
| 1952878431 | Michael Gonzales | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2018-11-01 |
| 1639645195 | Michael Gonzales | Counselor | 65 South St Fl 2, Freehold, NJ 07728-2348 | 2018-10-22 |
| 1467980367 | Michael Gonzales | Social Worker | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2017-05-23 |
| 1588110985 | Michael Gonzales | Nurse Practitioner | 2000 Scenic Dr, Georgetown, TX 78626 | 2016-08-27 |
| Street Address |
4640 ADMIRALTY WAY STE 420 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427494673 | Justis George | Physical Therapist | 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 | 2013-05-15 |
| 1952873390 | Physiotherapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467669432 | Terese Higbie Smith | Physical Therapist | 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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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.