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NPI Code Detail

MEDICARE: DR. JOHN MICHAEL GONZALES M.D.

MEDICARE: DR. JOHN MICHAEL GONZALES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology PhysicianG56012CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447207402
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MICHAEL GONZALES M.D.
Provider Business Mailing Address
First Line : 100-C ALBRIGHT WAY
Second Line :
City : SAN JOSE
State : CA
Zip : 95032-1837
Country : US
Telephone Number : 408-866-5227
Fax Number : 408-866-5228
Provider Business Practice Location Address
First Line : 100-C ALBRIGHT WAY
Second Line :
City : SAN JOSE
State : CA
Zip : 95032-1837
Country : US
Telephone Number : 408-866-5227
Fax Number : 408-866-5228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 01/14/2010

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