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OCTAVIO GONZALEZ MD
NPI 1912248030
Orthopaedic Surgery - Sports Medicine in Rancho Palos Verdes, CA

Active since March 14, 2013
29409 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275(424) 265-8678(888) 847-2037 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Octavio Gonzalez Md NPPES

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

OCTAVIO GONZALEZ MD (NPI 1912248030) is a healthcare organization registered as a sports medicine in Rancho Palos Verdes, California and active in the NPI registry since March 2013. The organization lists Octavio Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1912248030
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameOCTAVIO GONZALEZ MD
Location Address29409 S WESTERN AVERancho Palos Verdes, CA 90275-1137
Mailing AddressPo Box 3062Torrance, CA 90510-3062 · (424) 265-8678 · Fax (888) 847-2037
Phone(424) 265-8678
Fax(888) 847-2037
Organization SubpartNo
Authorized OfficialOctavio GonzalezPresident · (424) 265-8678
Enumeration DateMarch 14, 2013
Last NPPES UpdateMarch 13, 2015
✔ NPI 1912248030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · A69063
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
29409 S WESTERN AVE, Rancho Palos Verdes, CA 90275
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Other Identifiers 1

Medicare PINHD219A

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

Other Providers at the Same Location NPPES 8

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

VICTORIA A. SHOOK D.D.S.
Dentist (General Practice)
29409 S WESTERN AVE, SUITE 4
RANCHO PALOS VERDES, CA 90275
Los Angeles County (310) 548-2830
MELANIE T. DEE M.D.
Family Medicine
29409 S WESTERN AVE
RANCHO PALOS VERDES, CA 90275
Los Angeles County (310) 832-4225
VICTORIA A. SHOOK, D.D.S., A PROFESSIONAL CORP.
Dentist
29409 S WESTERN AVE, SUITE 4
RANCHO PALOS VERDES, CA 90275
Los Angeles County (310) 548-2830
MRS. JENNIFER ELIZABETH COLLINS P.A.
Physician Assistant
29409 S WESTERN AVE
RANCHO PALOS VERDES, CA 90275
Los Angeles County (310) 832-4225
MEHER FATIMA RAZA DO
Obstetrics & Gynecology
29409 S WESTERN AVE
RANCHO PALOS VERDES, CA 90275
Los Angeles County (310) 784-6848
MS. ERIKA DANIELLE HARTWELL FNP-C
Nurse Practitioner
29409 S WESTERN AVE
RANCHO PALOS VERDES, CA 90275
Los Angeles County (310) 891-6684
COASTAL PHYSICIANS MEDICAL GROUP-RPV
Family Medicine
29409 S WESTERN AVE
RANCHO PALOS VERDES, CA 90275
Los Angeles County (310) 832-4225
DR. OCTAVIO GONZALEZ MD
Orthopaedic Surgery (Sports Medicine)
29409 S WESTERN AVE
RANCHO PALOS VERDES, CA 90275
Los Angeles County (424) 265-8678

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 Octavio Gonzalez MD's NPI number?

The NPI number for Octavio Gonzalez MD is 1912248030. It was assigned to this organization in the NPPES registry on March 14, 2013.

Where is Octavio Gonzalez MD located?

Octavio Gonzalez MD is located at 29409 S Western Ave, Rancho Palos Verdes, CA 90275. The listed phone number is (424) 265-8678.

What is Octavio Gonzalez MD's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Octavio Gonzalez MD was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.