MR. MICHAEL JAMES GONZALEZ (NPI# 1356833578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356833578 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JAMES GONZALEZ |
| Credential | PA-C |
| Practice Address |
1500 E Chevy Chase Dr # 401a401b Glendale CA 91206-4152 |
| Mailing Address |
26821 Albion Way Santa Clarita CA 91351-2800 |
| Practice Telephone | 8188634444 |
| Mailing Telephone | 4154972013 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773987 | Michael Benjamen Gonzalez | Massage Therapist | 3970 Arizona St Apt 4, San Diego, CA 92104-8815 | 2019-11-05 |
| 1154785871 | Michael Antonio Gonzalez | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Road Nw Dept of Medicine, Washington, DC 20007-2113 | 2016-04-08 |
| 1538525050 | Michael Gonzalez | Technician, Other | 19141 Box Canyon Rd, Corona, CA 92881-4239 | 2016-01-13 |
| 1902155534 | Michael Franco Gonzalez | Dentist | 7544 W North Ave Ste 4, Elmwood Park, IL 60707-2790 | 2012-08-29 |
| 1942536313 | Michael Gonzalez | Physician Assistant | 119 Retama, Suite D, Elsa, TX 78543-0066 | 2009-10-20 |
| 1720224975 | Michael Gonzalez | Pharmacist | 3 Short Street, Monticello, GA 31064-3106 | 2008-12-17 |
| 1821276692 | Michael Gonzalez | Acupuncturist | 6424 Coldwater Canyon Ave, North Hollywood, CA 91606-1113 | 2008-02-04 |
| 1477608404 | Michael Gonzalez | Dentist | 9601 Jones Rd Ste 220, Houston, TX 77065-4778 | 2007-01-23 |
| 1073519450 | Michael Bryan Gonzalez | Pediatrics | 111 Hilltop St, Rutherford College, NC 28671-0620 | 2005-06-22 |
| 1477194520 | Michael Gonzalez | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-30 |
| Street Address |
1500 E CHEVY CHASE DR # 401A401B |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871962043 | Molly Ann Bailey | Physician Assistant | 6234 W Behrend Dr, Apt 3109, Glendale, AZ 85308-6905 | 2015-09-17 |
| 1538316799 | Nara Sargsian | Physician Assistant | 800 S Central Ave Ste 308, Glendale, CA 91204-4644 | 2008-08-19 |
| 1861502643 | Blake Marcus Hess | Physician Assistant | 12801 N 65th Ave, Glendale, AZ 85304-1648 | 2006-08-30 |
| 1780675314 | Martha K Heer | Physician Assistant | 1501 W Frier Dr, Glendale, AZ 85312-5343 | 2005-11-02 |
| 1659865525 | Jennifer Mcgovern | Physician Assistant | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206-4140 | 2018-06-14 |
| 1265848105 | Arizona Surgical Assistants, LLC | Physician Assistant | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2014-07-10 |
| 1780982819 | Crystal Lisa Rene De Cotret | Physician Assistant | 1019 S Central Ave, Glendale, CA 91204-2210 | 2011-03-15 |
| 1568605236 | Michael Nadzhafov | Physician Assistant | 1141 N Brand Blvd, Ste. 300, Glendale, CA 91202-2511 | 2009-04-10 |
| 1477716363 | Leah Chu Lovely | Physician Assistant | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2008-07-09 |
| 1902092992 | Ezekias John Zink | Physician Assistant | 4344 W Bell Rd, Suite 102, Glendale, AZ 85308-3589 | 2007-09-24 |
| Find all providers in GLENDALE | ||||
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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.