Physician Compare National (NPI:1477585776)

HEALTHCARE PROVIDER: JAMES N GONZALEZ

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477585776
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931146024
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050411000645
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GONZALEZ
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	STANFORD UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1555 E ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 220
	Group Practice or individual's line 2 address
City	REDDING
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	960011153
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5302461240
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050280
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER REDDING
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050764
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHASTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050030
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OROVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	051305
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MAYERS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050042
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST ELIZABETH COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1477585776)

HEALTHCARE PROVIDER: JAMES N GONZALEZ

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information