| Nataly Mena Gonzales, PA-C | |
|
2823 Fresno St, Fresno, CA 93721-1324 | |
| (559) 443-2682 | |
| (559) 443-2681 |
| Full Name | Nataly Mena Gonzales |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2823 Fresno St, Fresno, 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 |
|---|---|---|---|
| 1104446640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 58725 (California) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 58725 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Agnes Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Agnes Medical Foundation | 7618946369 | 161 |
| Forefront Radiology Medical Group Pc | 3971936857 | 6 |
| Entity Name | Temecula Valley Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407281223 PECOS PAC ID: 2769619097 Enrollment ID: O20131212000952 |
| Entity Name | University Faculty Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073911137 PECOS PAC ID: 6507181708 Enrollment ID: O20150211000164 |
| Entity Name | Saint Agnes Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669 |
| Entity Name | Corona Regional Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134629298 PECOS PAC ID: 9133481484 Enrollment ID: O20180326001396 |
| Entity Name | Forefront Radiology Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689232449 PECOS PAC ID: 3971936857 Enrollment ID: O20191206001517 |
| Mailing Address | Practice Location Address |
|---|---|
| Nataly Mena Gonzales, PA-C 2625 E Divisadero St, Fresno, CA 93721-1431 Ph: (559) 443-2682 | Nataly Mena Gonzales, PA-C 2823 Fresno St, Fresno, CA 93721-1324 Ph: (559) 443-2682 |
Whitney Ann Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 |
Ericson Mutsuo Hirose, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |
Nicholas Cico, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 |
Irene J Lee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7085 N Chestnut Ave Ste 101, Fresno, CA 93720 Phone: 559-323-9236 Fax: 559-323-0294 |
William Joseph Johncox, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7152 N Sharon Ave Ste 102, Fresno, CA 93720 Phone: 559-432-6807 Fax: 559-432-6937 |
Rocio Patricia Naranjo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7471 N Fresno St, Fresno, CA 93720 Phone: 559-436-4500 Fax: 559-436-0500 |
Charlene Kim Dang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-3770 |