VICENTE DIAZ-GONZALEZ (NPI# 1790745776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790745776 |
| Entity Type | Individual |
| Full Name | VICENTE DIAZ-GONZALEZ |
| Credential | MD |
| Practice Address |
3125 N Dysart Rd Avondale AZ 85392 |
| Mailing Address |
3125 N Dysart Rd Avondale AZ 85392-1208 |
| Practice Telephone | 6238829161 |
| Practice Fax Number | 6239250745 |
| Mailing Telephone | 6238829161 |
| Mailing Fax Number | 6239250745 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 31532 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
31532 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 31532 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 787038 | 05 |
| Street Address |
3125 N DYSART RD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831181999 | Douglas B Mangan | Orthopaedic Surgery | 3125 N Dysart Rd, Avondale, AZ 85392-1208 | 2005-08-16 |
| 1780044842 | Roxane Jueckstock | Family Medicine | 3125 N Dysart Rd, Avondale, AZ 85392 | 2016-03-02 |
| 1003211889 | Eric Tomas Ovalle | Physician Assistant | 3125 N Dysart Rd, Avondale, AZ 85392-1208 | 2014-10-23 |
| 1740689108 | Gabriela Astrid Hildenbrand | Registered Nurse | 3125 N Dysart Rd, Avondale, AZ 85392-1208 | 2014-08-21 |
| 1740513316 | Carmen Rozelle Washington | Nurse Practitioner | 3125 N Dysart Rd, Avondale, AZ 85392-1208 | 2009-09-14 |
| 1114942422 | Billy Joe Evans | Family Medicine | 3125 N Dysart Rd, Avondale, AZ 85392-1208 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146829 | Jb Healthcare LLC | Pediatrics | 10575 W Indian School Rd Ste 103, Avondale, AZ 85392-5651 | 2019-04-05 |
| 1861921173 | Tori Danae Huftalin | Pediatrics | 10320 W Mcdowell Rd Bldg L, Avondale, AZ 85392-4863 | 2017-06-08 |
| 1962822585 | Rejane Lavoie | Pediatrics | 10903 W Laurelwood Ln, Avondale, AZ 85392-4033 | 2014-04-22 |
| 1073838447 | Jessie Jean-rush | Pediatrics | 10909 W Almeria Rd, Avondale, AZ 85392-5413 | 2010-03-29 |
| 1205860061 | Chester County Pediatrics PC | Pediatrics | 915 Gap Newport Pike, Avondale, PA 19311 | 2006-07-10 |
| 1811990625 | Philip Smittle Traquair | Pediatrics | 1665 N Avondale Blvd, Avondale, AZ 85392-5006 | 2005-05-24 |
| 1295077675 | Ekta Bajaj | Pediatrics | 10750 W Mcdowell Rd, Avondale, AZ 85392-5960 | 2013-03-22 |
| 1922240407 | Alan Hartsook | Pediatrics | 10750 W Mcdowell Rd, Suite G-700, Avondale, AZ 85392-5960 | 2009-03-31 |
| 1740223114 | Gary Lee Berebitsky | Pediatrics | 10750 W Mcdowell Rd, G700, Avondale, AZ 85392 | 2006-06-14 |
| 1942240858 | Colleen Marie Cunningham | Pediatrics | 10750 W Mcdowell Rd, Avondale, AZ 85392 | 2006-06-08 |
| Find all providers in AVONDALE | ||||
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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.