Michele Aida Dominque Gonzales, CNM is a
Advanced Practice Midwife based in Campbell, California. Michele Aida Dominque Gonzales is licensed to practice in California (license number 7189) and her current practice location is
900 East Hamilton Ave, Ste 220, Campbell, California. She can be reached at her office (for appointments etc.) via phone at
(408) 371-7111.
NPI number for Michele Aida Dominque Gonzales is 1568523835 and her current mailing address is 900 E Hamilton Ave, Ste 220, Campbell, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568523835.
Provider's Profile
Full Name | Michele Aida Dominque Gonzales |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 900 East Hamilton Ave, Campbell, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568523835
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 07/29/2015
Medical Identifiers
Medical identifiers for Michele Aida Dominque Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568523835 | NPI | - | NPPES |
RN443870 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | NMW1038 (California) | Secondary |
363L00000X | Nurse Practitioner | RN443870 (California) | Secondary |
363LP1700X | Nurse Practitioner - Perinatal | RN443870 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 7189 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michele Aida Dominque Gonzales is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michele Aida Dominque Gonzales, CNM 900 E Hamilton Ave, Ste 220, Campbell, CA 95008-0664 Ph: (408) 371-7111 | Michele Aida Dominque Gonzales, CNM 900 East Hamilton Ave, Ste 220, Campbell, CA 95008 Ph: (408) 371-7111 |
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