EDGARDO GONZALEZ M.D NPI 1366514655

NPI Information

  • NPI: 1366514655
  • Provider Name: EDGARDO GONZALEZ, M.D
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6301 BEACH BLVD
    SUITE 101
    BUENA PARK, CA
    ZIP 90621
  • Phone: (714) 994-5290

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NPI Details

Edgardo Gonzalez, M.D is an internal medicine in Buena Park, CA with 43 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Edgardo Gonzalez, M.D NPI is 1366514655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

6301 BEACH BLVD
SUITE 101
BUENA PARK, CA
ZIP 90621-840
Phone: (714) 994-5290
Fax: (714) 994-8090

The NPI 1366514655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Automated urinalysis test (HCPCS:81003)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)

The enumeration date for this NPI number is 11/14/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineG53693CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A93247MEDICARE UPINCALIFORNIA
2W18427MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP
3GR0099930MEDICAIDCALIFORNIA
4WG53693LMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARENDERING PROVIDER ID
500G536930MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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