MARY MADDUX-GONZALEZ
NPI 1306987649
Family Medicine in Santa Rosa, CA

Active since February 09, 2007
625 5TH ST, SANTA ROSA, CA 95404(707) 565-4401 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Maddux-gonzalez NPPES

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

MARY MADDUX-GONZALEZ (NPI 1306987649) is an individual family medicine provider in Santa Rosa, California, licensed in California (A47722) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306987649
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY MADDUX-GONZALEZ
Location Address625 5TH STSanta Rosa, CA 95404-4428
Mailing Address625 5th StSanta Rosa, CA 95404-4428 · (707) 565-4401
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 18, 2014
NPI 1306987649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A47722
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
625 5TH ST, Santa Rosa, CA 95404

Other Identifiers 2

Medicare UPINE60195CA
Medicaid00A477220CA

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.

Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Social Worker
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Community Health Worker
625 5TH ST
SANTA ROSA, CA 95404

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 Mary Maddux-gonzalez's NPI number?

The NPI number for Mary Maddux-gonzalez is 1306987649. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Mary Maddux-gonzalez located?

Mary Maddux-gonzalez practices at 625 5th St, Santa Rosa, CA 95404. The listed phone number is (707) 565-4401.

What is Mary Maddux-gonzalez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Maddux-gonzalez was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.