| Arlene C Gonzales M D Inc | |
|
722 E Chapel St Santa Maria CA 93454-4524 | |
| (805) 928-9600 | |
| (805) 928-9622 |
| Full Name | Arlene C Gonzales M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 722 E Chapel St, Santa Maria, California |
| Authorized Official Name and Position | Arlene C Gonzales (PHYSICIAN) |
| Authorized Official Contact | 8059289600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arlene C Gonzales M D Inc 722 E Chapel St Santa Maria CA 93454-4524 Ph: (805) 928-9600 | Arlene C Gonzales M D Inc 722 E Chapel St Santa Maria CA 93454-4524 Ph: (805) 928-9600 |
| NPI Number | 1821277047 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/05/2010 |
| Medicare PECOS PAC ID | 2466534060 |
|---|---|
| Medicare Enrollment ID | O20080204000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821277047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G67298 (California) | Primary |
| Provider Name | Arlene C Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154432847 PECOS PAC ID: 3971509514 Enrollment ID: I20061004000656 |
| Provider Name | Beaulah P Jay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073259222 PECOS PAC ID: 3971957218 Enrollment ID: I20230920003688 |
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