MICHAELA GONZALEZ MD
NPI 1255960001
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Michaela Gonzalez's NPI number?

The NPI number for Michaela Gonzalez is 1255960001. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Michaela Gonzalez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Michaela Gonzalez was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 03, 2020PECOS Enrolled

505 PARNASSUS AVE RM M24, SAN FRANCISCO, CA 94143(415) 353-1529 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2023, Apr 3, 2020 (2 updates tracked since 2020).

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About Michaela Gonzalez Md NPPES

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

MICHAELA GONZALEZ MD (NPI 1255960001) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2020).

NPPES Registry Identity

NPI1255960001

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMICHAELA GONZALEZCredential: MD

Location Address505 PARNASSUS AVE RM M24San Francisco, CA 94143-2204

Mailing Address505 Parnassus Ave Rm M24San Francisco, CA 94143-2204 · (415) 353-1529

Phone(415) 353-1529

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2020

Enumeration DateApril 3, 2020

Last NPPES UpdateMay 30, 20232 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1255960001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

505 PARNASSUS AVE RM M24, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092189662

PECOS Enrollment IDI20250701000195

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALIA LISBETH CHURCH

Student in an Organized Health Care Education/Training Program