Michele Aida Dominque Gonzales, CNM - Advanced Practice Midwife in Campbell, CA

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.

Contact Information

Michele Aida Dominque Gonzales, CNM
900 East Hamilton Ave, Ste 220,
Campbell, CA 95008
(408) 371-7111
Not Available



Provider's Profile

Full NameMichele Aida Dominque Gonzales
GenderFemale
SpecialityAdvanced Practice Midwife
Location900 East Hamilton Ave, Campbell, California
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1568523835NPI-NPPES
RN443870MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife NMW1038 (California)Secondary
363L00000XNurse Practitioner RN443870 (California)Secondary
363LP1700XNurse Practitioner - Perinatal RN443870 (California)Secondary
367A00000XAdvanced 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 AddressPractice 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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› Verified 8 days ago


Advanced Practice Midwife Nurses in Campbell, CA

Ms. Christine Marie Kulle, MSN, RN, NP-C, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 476 E Campbell Ave, Campbell, CA 95008
Phone: 408-871-5040    Fax: 408-871-5049

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