DR. MICHAEL GONZAGA (NPI# 1972953297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972953297 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GONZAGA |
| Credential | M.D. |
| Practice Address |
2100 Peabody Rd Vacaville CA 95687-6639 |
| Mailing Address |
Po Box 4000 Vacaville CA 95696-4000 |
| Practice Telephone | 7074543261 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A155527 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295836807 | Michael Gonzaga | Internal Medicine | 2116 Craig Road, Eau Claire, WI 54701 | 2006-09-26 |
| Street Address |
2100 PEABODY RD |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687-6639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407925605 | Yuen Pao Chen | Internal Medicine | 2100 Peabody Rd, Vacaville, CA 95687 | 2006-11-06 |
| 1366960056 | Anh Do | Pharmacist | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2017-09-01 |
| 1881128296 | Mariana Lotersztain | Internal Medicine | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2017-04-13 |
| 1417405366 | Daniel Ramos | Physician Assistant | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2016-09-20 |
| 1538577523 | Heather Marie Pol | Pharmacist | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2014-07-23 |
| 1396152104 | Shashank Gopal Agarwal | Psychiatry & Neurology | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2014-07-14 |
| 1851710255 | Margaret Tuyetmai Le | Pharmacist | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2014-04-14 |
| 1902235070 | Rachel Dubruyne | Social Worker | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2013-11-08 |
| 1508206830 | Judith Mudge Herman | Psychologist | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2013-07-01 |
| 1992045454 | Theodore Long | Social Worker | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2013-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
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| 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 |
|---|---|---|---|---|
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1497134837 | Lenzy Stephenson | Family Medicine | 1000 Allison Dr Apt 144, Vacaville, CA 95687-4986 | 2015-05-19 |
| 1194017426 | Outpatient Wound Solutions, Inc. | Family Medicine | 607 Elmira Rd, Suite 165, Vacaville, CA 95687-4655 | 2011-05-04 |
| 1730304502 | Kam Chan | Family Medicine | 600 Nut Tree Rd Ste 310, Vacaville, CA 95687-4686 | 2007-04-16 |
| 1194760025 | Gail D Feinberg | Family Medicine | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2006-06-17 |
| 1639127632 | William Thomas O'connor Jr. | Family Medicine | 300 Mason St., Vacaville, CA 95688-4506 | 2006-05-04 |
| 1508823014 | Karl Einar Molin Jr. | Family Medicine | 313 Kendal St, Vacaville, CA 95688-3920 | 2006-04-27 |
| 1831156413 | Karl E Molin Md Inc | Family Medicine | 313 Kendal Street, Vacaville, CA 95688-3920 | 2006-04-27 |
| 1295703189 | Ricardo Edward Denapoli | Family Medicine | 770 Mason St, Vacaville, CA 95688-4646 | 2006-03-08 |
| 1336126374 | Jerry Michael Cline | Family Medicine | 138 S Orchard Ave, Vacaville, CA 95688-3636 | 2005-12-30 |
| Find all providers in VACAVILLE | ||||
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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.