| Nathan Jon Mendoza Gonzales, DPT | |
|
700 E Calaveras Blvd, Milpitas, CA 95035-5439 | |
| (408) 851-1400 | |
| Not Available |
| Full Name | Nathan Jon Mendoza Gonzales |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 700 E Calaveras Blvd, Milpitas, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952075269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 300406 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10968 |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Jon Mendoza Gonzales, DPT 3087 Sulphur Spring Ct, San Jose, CA 95148-3628 Ph: () - | Nathan Jon Mendoza Gonzales, DPT 700 E Calaveras Blvd, Milpitas, CA 95035-5439 Ph: (408) 851-1400 |
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