Kelly D Gonzales
Medical Specialty
Professional ID
- NPI: 1184899874
- PECOS ID: 4688805732
- Enrollment ID: I20151130000987
- Credential(MD, DO, DPM):
- Medical School: Boston University School Of Medicine
- Medical School Graduation Year: 2007
Hospital Service
- Hospital CCN1: 050125
- Business Name (LBN)1: Regional Medical Center Of San Jose
- Hospital CCN2: 050688
- Business Name (LBN)2: Saint Louise Regional Hospital
Medical Practices
- Organization Name: San Jose Surgical Group
- Group Practice ID assigned by PECOS: 6002132933
- Number of Group Practice member: 8
Location
- Address1: 150 N Jackson Ave
- Address2: Suite 100
- City: San Jose
- State: California
- Zip Code: 95116
- Phone Number: (408)770-2297
Location
- Address1: 225 N Jackson Ave
- Address2: Regional Medical Center Of San Jose
- City: San Jose
- State: California
- Zip Code: 95116
- Phone Number: (408)770-2297
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):