Edivina B Gonzales (NPI# 1386670479, PAC ID# 6305808296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1386670479 |
| PAC ID by PECOS | 6305808296 |
| Professional Enrollment ID | I20041102001092 |
| Full Name | Edivina B Gonzales |
| Organization Legal Name | PATRICK AND EDIVINA GONZALES MEDICAL GROUP INC |
| Address |
29798 Haun Rd Suite 106 Menifee CA 92586-6541 |
| Phone Number | 3013013588 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 5991767873 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050770 | LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA |
| Address | Phone | Organization |
|---|---|---|
| 29798 Haun Rd, Suite 106, Menifee, CA 92586-6541 | 3013013588 | PATRICK AND EDIVINA GONZALES MEDICAL GROUP INC |
| Organization Legal Name | PATRICK AND EDIVINA GONZALES MEDICAL GROUP INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick D Gonzales | Internal Medicine | Patrick and Edivina Gonzales Medical Group Inc | 39755 Date St, Suite 103, Murrieta, CA 92563-2007 |
| Street Address |
29798 HAUN RD SUITE 106 |
| City | MENIFEE |
| State | CA |
| Zip | 92586-6541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Binoy G Patel | Physical Therapy | All Star Physical Therapy Inc | 29798 Haun Rd, Suite 201, Menifee, CA 92586-6541 |
| Christine U. Nguyen | Internal Medicine | Brian L Nguyen Md Inc | 29798 Haun Rd, Suite 108, Sun City, CA 92586-6541 |
| Dharmarajan Ramaswamy | Internal Medicine | Southland Arthrites and Osteoporosis Medical Center Inc | 29798 Haun Rd, Suite 301, Menifee, CA 92586-6542 |
| Paul Alexan Blacharski | Ophthalmology | Inland Valley Retina Medical Associates, Inc | 29798 Haun Rd, Suite 200, Menifee, CA 92586-6541 |
| Susan M Danek | Family Medicine | 29798 Haun Rd, Suite 302, Sun City, CA 92586-6542 | |
| Chandrakant Virji Mehta | Internal Medicine | Southland Arthrites and Osteoporosis Medical Center Inc | 29798 Haun Rd, Suite 301, Menifee, CA 92586-6542 |
| Janki D Trivedi | Rheumatology | Southland Arthrites and Osteoporosis Medical Center Inc | 29798 Haun Rd, Suite 301, Menifee, CA 92586-6542 |
| David C Stanford | Internal Medicine | 29798 Haun Rd, Suite 308, Sun City, CA 92586-6542 | |
| Kevin K Nguyen | Family Medicine | 29798 Haun Rd, Suite 203, Sun City, CA 92586-6541 | |
| Amal Mehta | Rheumatology | Southland Arthrites and Osteoporosis Medical Center Inc | 29798 Haun Rd, Suite 301, Menifee, CA 92586-6542 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thang D Nguyen | Internal Medicine | 27830 Bradley Rd, Sun City, CA 92586-2201 | |
| Lysle Shaw-mcminn | Optometry | 27830 Bradley Rd, Sun City, CA 92586-2201 | |
| David H Nguyen | Internal Medicine | 27830 Bradley Rd, Sun City, CA 92586-2201 | |
| Noemi S Mendoza | Nurse Practitioner | Sun City Cardiology Medical Center Inc | 27830 Bradley Rd, Sun City, CA 92586-2201 |
| Michael Ken Kobayashi | Optometry | Sun City Vision Clinic Optometry | 27830 Bradley Rd, Sun City, CA 92586-2201 |
| Peter Shaw- Mc Minn | Optometry | 27830 Bradley Rd, Sun City, CA 92586-2201 | |
| Sylvia R Acevedo | Qualified Audiologist | Serendipity Hearing Inc | 28071 Bradley Rd, Sun City, CA 92586-2207 |
| Kenneth E Christopher | Optometry | 28081 Bradley Rd, Sun City, CA 92586-2207 | |
| Vonda Ann Sigstad | Clinical Social Worker | 27851 Bradley Rd, Suite 101, Menifee, CA 92586-2213 | |
| Ammie J Foreman-dowling | Clinical Social Worker | 27851 Bradley Rd, Suite 108, Menifee, CA 92586-2213 | |
| Find all physicians in zip 92586 | |||
| City | MENIFEE |
| Zip Code | 92586 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MENIFEE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Edivina B Gonzales.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.