DR. OCTAVIO GONZALEZ


Address: 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1137
Phone: 4242658678

DR. OCTAVIO GONZALEZ (NPI# 1932390069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932390069
Entity Type Individual
Full Name DR. OCTAVIO GONZALEZ
Credential MD
Practice Address 29409 S Western Ave
Rancho Palos Verdes
CA 90275-1137
Mailing Address Po Box 3062
Torrance
CA 90510-3062
Practice Telephone 4242658678
Practice Fax Number 8888472037
Mailing Telephone 4242658678
Mailing Fax Number 8888472037
Enumeration Date 2007-08-05
Last Update Date 2015-02-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
N3682 TX Allopathic & Osteopathic Physicians
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
A69063 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PTAN HD219A 01

Other Providers OCTAVIO GONZALEZ

NPI Name Taxonomy Address Enumeration
1730461419 Octavio R Gonzalez Pharmacist 11430 Nw 20th St Ste 300, Doral, FL 33172-1846 2011-09-19
1831591965 Octavio Gonzalez Counselor 3611 S Harbor Blvd Ste 100, Santa Ana, CA 92704-7915 2014-09-19
1578835500 Octavio Alberto Gonzalez Dentist 800 Rose Street, Room D104, Lexington, KY 40536-0297 2012-02-07

Office Location

Street Address 29409 S WESTERN AVE
City RANCHO PALOS VERDES
State CA
Zip Code 90275-1137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497735849 Joel Holtz Family Medicine 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1137 2006-01-20
1912248030 Octavio Gonzalez Md Orthopaedic Surgery 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1137 2013-03-14
1568711794 Jennifer Elizabeth Collins Physician Assistant 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1137 2012-09-04
1821279183 Coastal Physicians Medical Group-rpv Family Medicine 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1124 2007-11-15
1558567461 Victoria A. Shook, D.d.s., A Professional Corp. Dentist 29409 S Western Ave, Suite 4, Rancho Palos Verdes, CA 90275-1124 2007-06-26
1487704060 Melanie T. Dee Family Medicine 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1124 2007-01-12
1144336405 Victoria A. Shook Dentist 29409 S Western Ave, Suite 4, Rancho Palos Verdes, CA 90275-1124 2006-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952927378 Anaheim Urgent Care, Inc. Clinic/Center 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 2020-06-22
1164903340 Brad Thomas Physical Therapist 28924 S Western Ave Ste 101, Rancho Palos Verdes, CA 90275 2018-08-24
1023503679 Nature Health Chiro Inc Acupuncturist 29050 S Western Ave Ste 152, Rancho Palos Verdes, CA 90275 2018-06-26
1649726605 Katelyn Rose Tomasello Counselor 1317 Bloomwood Rd., Rancho Palos Verdes, CA 90275 2016-08-30
1952752644 Alvin M Gottlieb Family Medicine 30738 Via La Cresta, Rancho Palos Verdes, CA 90275 2016-06-24
1518314038 Donna Marie Sardisco Marriage & Family Therapist 28850 So. Western, Christ Lutheran Church School, Rancho Palos Verdes, CA 90275 2016-05-16
1629440482 Bahareh Andi Pharmacist 32679 Seagate Dr. #203, Rancho Palos Verdes, CA 90275 2015-10-20
1205102829 Rosemond Seligson Occupational Therapist 5051 Golden Arrow Drive, Rancho Palos Verdes, CA 90275 2012-03-28
1790054666 James Yan Lee Internal Medicine 28630 Meadowmist Drive, Rancho Palos Verdes, CA 90275 2011-12-22
1194028233 Pavillion Asc Inc. Dermatology 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 2010-12-13
Find all providers in zip 90275

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912248030 Octavio Gonzalez Md Orthopaedic Surgery 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1137 2013-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790341618 Casey S Revenko Orthopaedic Surgery 2999 Regent St Ste 225, Berkeley, CA 94705-2117 2019-05-15
1225504301 Amgad Alfred Orthopaedic Surgery 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 2018-10-16
1386136430 Valley River Orthopedics and Sports Medicine Orthopaedic Surgery Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 2018-06-05
1073026696 Optimal Physician Surgical Group Orthopaedic Surgery 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 2017-11-06
1336669456 Beach Cities Orthopedics Surgery Center, LLC Orthopaedic Surgery 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 2017-06-20
1750818860 Health Link Medical Group Inc Orthopaedic Surgery 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 2017-05-19
1962861476 Mehta Orthopedics Orthopaedic Surgery 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 2016-02-12
1649646282 Bay Area Surgical Specialists, Inc. A Medical Corporation Orthopaedic Surgery 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 2015-08-18
1114346111 Sean Robinson Orthopaedic Surgery 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 2014-04-08
1851717938 William R Campbell Do Prof Corp Orthopaedic Surgery 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 2014-03-12
Find all providers with the same taxonomy

Competitor

Search similar providers

City RANCHO PALOS VERDES
Zip Code 90275

Improve Information

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Dataset Information

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.

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