MARIO ALBERTO GONZALEZ (NPI# 1740792795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740792795 |
| Entity Type | Individual |
| Full Name | MARIO ALBERTO GONZALEZ |
| Credential | MSN/FNP |
| Practice Address |
651 N State St Ste 5 San Jacinto CA 92583-6574 |
| Mailing Address |
27373 Fawn Ridge Ct Corona CA 92883-8413 |
| Practice Telephone | 9514878506 |
| Mailing Telephone | 5622784727 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 95007892 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104335249 | Mario Atilio Gonzalez | Private Vehicle | 3710 Aranda Flds, Converse, TX 78109-3543 | 2017-09-20 |
| 1376077099 | Mario A Gonzalez | Private Vehicle | 5566 26th Ave Sw, Apt B, Naples, FL 34116-7553 | 2017-04-19 |
| 1083013320 | Mario Cesar Gonzalez | Dental Assistant | 26941 Rainbow Glen Dr Unit 753, Santa Clarita, CA 91351-5524 | 2014-08-21 |
| 1487066395 | Mario Gonzalez | Social Worker | 15321 Sdixie Hwy, Ste 311, Miami, FL 33157 | 2014-05-27 |
| 1467689497 | Mario David Gonzalez | Physical Therapist | 155 Zorsal Street, Urb. Los Montes, Dorado, PR 00646 | 2009-06-17 |
| 1871645572 | Mario F. Gonzalez | Chiropractor | 621 Madison St Ste C, Evanston, IL 60202-2203 | 2007-01-16 |
| 1396377925 | Mario Roberto Gonzalez | Nurse Practitioner | 18300 Houston Methodist Dr, Houston, TX 77058-6302 | 2020-02-11 |
| 1073012928 | Mario Carlos Gonzalez | Counselor | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-02-06 |
| 1063933968 | Mario Garcia Gonzalez | Physician Assistant | 601 W Terrell Ave, Fort Worth, TX 76104-3243 | 2017-06-29 |
| 1962938209 | Mario Enrique Gonzalez | Otolaryngology | University District Hospital, Bo. Monacillos, San Juan, PR 00935-0001 | 2017-05-05 |
| Street Address |
651 N STATE ST STE 5 |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771094 | Luis Enrique Jimenez | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2020-05-17 |
| 1235751926 | Akanksha Kumar | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2020-05-15 |
| 1285256073 | Zenziwe Matshe | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2020-05-14 |
| 1477175321 | Jahanzeb Ashraf | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2020-05-14 |
| 1134741994 | Caroline Ferrer Dale | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2020-05-14 |
| 1659993434 | Stephanie Kong | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2020-05-14 |
| 1952963878 | Daniel Martin Fishel | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2019-07-01 |
| 1487218640 | Annie P Le | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2019-04-23 |
| 1982267340 | Alex Christopher Adamian | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583 | 2019-04-20 |
| 1194388637 | Sabah Mansour | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2019-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| 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 |
|---|---|---|---|---|
| 1821036229 | Nagasamudra Shamarao Ashok | Family Medicine | 229 W 7th Street, San Jacinto, CA 92583 | 2006-06-04 |
| 1093238107 | Gk Urgi Care Inc | Family Medicine | 1861 S San Jacinto Ave, San Jacinto, CA 92583-5605 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
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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.