GONZALES MEDICAL CLINIC P C
NPI 1447358742
Internal Medicine in Yuma, AZ

Active since September 20, 2006CLIA 03D1030078 · Waiver
2851 S AVE B STE 3200, YUMA, AZ 85364(928) 783-5828 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gonzales Medical Clinic P C NPPES

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

GONZALES MEDICAL CLINIC P C (NPI 1447358742) is a healthcare organization registered as an internal medicine in Yuma, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 29, 2028 and lists Rodolfo Gonzales, Owner, as its authorized official.

NPPES Registry Identity

NPI1447358742
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGONZALES MEDICAL CLINIC P C
Location Address2851 S AVE B STE 3200Yuma, AZ 85364-7740
Mailing Address2851 S Ave B Ste 3200Yuma, AZ 85364-7740 · (928) 783-5828
Organization SubpartNo
Authorized OfficialRodolfo GonzalesOwner · (928) 783-5828
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
✔ NPI 1447358742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · G34695
Definition
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.
2851 S AVE B STE 3200, Yuma, AZ 85364

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gonzales Medical Clinic P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gonzales Medical Clinic P C, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1194780627
2851 S AVE B STE 32
Yuma, AZ 85364
(928) 783-5828
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1174587364
2851 S AVENUE B STE 32
Yuma, AZ 85364
(928) 783-5828
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 03D1030078

Gonzales Medical Clinic, PC · Yuma, AZ
Active · expires Aug 29, 2028
CLIA Number03D1030078
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2026
Certificate Expiration DateAugust 29, 2028
Laboratory DirectorRodolfo P. Gonzales, MD
Laboratory Phone(928) 783-5828
Laboratory LocationGonzales Medical Clinic, PC2851 S Ave B, Suite 3200, Yuma, AZ 85364
CLIA data matches this NPI record on: Address Name Phone
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 Clinic P C's NPI number?

The NPI number for Gonzales Medical Clinic P C is 1447358742. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Gonzales Medical Clinic P C located?

Gonzales Medical Clinic P C is located at 2851 S Ave B Ste 3200, Yuma, AZ 85364. The listed phone number is (928) 783-5828.

What is Gonzales Medical Clinic P C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gonzales Medical Clinic P C enrolled in Medicare?

Yes. Gonzales Medical Clinic P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gonzales Medical Clinic P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Gonzales Medical Clinic P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gonzales Medical Clinic P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1030078) is associated with this NPI, valid through August 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gonzales Medical Clinic P C accept?

Health plans from Ambetter from Arizona Complete Health list Gonzales Medical Clinic P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gonzales Medical Clinic P C was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.