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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PTAN | HD219A | 01 |
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 |
Street Address |
29409 S WESTERN AVE |
City | RANCHO PALOS VERDES |
State | CA |
Zip Code | 90275-1137 |
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 |
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 Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912248030 | Octavio Gonzalez Md | Orthopaedic Surgery | 29409 S Western Ave, Rancho Palos Verdes, CA 90275-1137 | 2013-03-14 |
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 |
City | RANCHO PALOS VERDES |
Zip Code | 90275 |
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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.