GONZALES PRIMARY CARE
NPI 1184176158
Clinic/Center - Primary Care in Gonzales, CA

Active since October 26, 2016CLIA 05D2121886 · Waiver
18 FOURTH STREET, GONZALES, CA 93926(831) 975-3124(831) 305-6400 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gonzales Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GONZALES PRIMARY CARE (NPI 1184176158) is a healthcare organization registered as a primary care in Gonzales, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Ignacio Guzman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1184176158
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGONZALES MEDICAL CENTER, INC
Location Address18 FOURTH STREETGonzales, CA 93926-0808
Mailing AddressPo Box 676Gonzales, CA 93926-0676 · (831) 975-3124 · Fax (831) 305-6400
Fax(831) 305-6400
Organization SubpartNo
Authorized OfficialIgnacio GuzmanMedical Director · (559) 892-4500
Enumeration DateOctober 26, 2016
NPI 1184176158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · 545778
18 FOURTH STREET, Gonzales, CA 93926

Other Names 1

Doing Business AsGonzales Primary Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2121886

Gonzales Medical Center Inc Dba - Gonzales Primary Care · Gonzales, CA
Active · expires Nov 14, 2026
CLIA Number05D2121886
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorIgnacio Guzman
Laboratory Phone(831) 290-5100
Laboratory LocationGonzales Medical Center Inc Dba - Gonzales Primary Care133 Fourth St, Gonzales, CA 93926
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gonzales Medical Center, Inc's NPI number?

The NPI number for Gonzales Medical Center, Inc is 1184176158. It was assigned to this organization in the NPPES registry on October 26, 2016. The provider is doing business as Gonzales Primary Care.

Where is Gonzales Medical Center, Inc located?

Gonzales Medical Center, Inc is located at 18 Fourth Street, Gonzales, CA 93926. The listed phone number is (831) 975-3124.

What is Gonzales Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Gonzales Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2121886) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gonzales Medical Center, Inc was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.