| Leslie Rangel Gonzalez, FNP | |
|
645 E Palomar St, Chula Vista, CA 91911-6974 | |
| (619) 421-6500 | |
| (619) 421-4771 |
| Full Name | Leslie Rangel Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 645 E Palomar St, Chula Vista, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346843653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 95015138 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95015138 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Del Sur Healthcare | 1850827395 | 62 |
| Entity Name | Senior Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629253505 PECOS PAC ID: 0446339469 Enrollment ID: O20080501000744 |
| Entity Name | California Care Wellness Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447874516 PECOS PAC ID: 2264856236 Enrollment ID: O20200723000732 |
| Entity Name | Myndfull Care Management California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770206435 PECOS PAC ID: 4981070893 Enrollment ID: O20221018002310 |
| Entity Name | Geri Connection |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447976907 PECOS PAC ID: 0446629059 Enrollment ID: O20221202001861 |
| Entity Name | Myndfull Care California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912699703 PECOS PAC ID: 1557717238 Enrollment ID: O20231101001710 |
| Entity Name | Del Sur Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891515953 PECOS PAC ID: 1850827395 Enrollment ID: O20241209000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Rangel Gonzalez, FNP 645 E Palomar St, Chula Vista, CA 91911-6974 Ph: (619) 421-6500 | Leslie Rangel Gonzalez, FNP 645 E Palomar St, Chula Vista, CA 91911-6974 Ph: (619) 421-6500 |