DR. MARTHA LETICIA GONZALEZ (MD) – Military Health Care Provider, NPI 1104928662
Military Health Care Provider
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
118 GENERAL PRACTICE in AZ
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Provider Addresses for DR. MARTHA LETICIA GONZALEZ (MD)
COUNTY OF SANTA CRUZ BEHAVIORAL HEALTH
1430 FREEDOM BLD
WATSONVILLE, CA 95076
Phone: (831) 763-8200
Type: Mailing
6950, East Williams Field Road, Mesa, Maricopa County, Arizona, 85212, United States
MESA, AZ 852126033
Phone: (602) 277-5551
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $191.
Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($161).
Total Amount
$191
General + Research + Ownership
Payments
2
Total payment records
General Amount
$191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $161 |
| Medline Industries LP | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250317003518 | I | General Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95076)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Family Practice | CA | |
| Clinical Social Worker | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Orthopedic Surgery, Sports Medicine | CA | |
| Family Practice | CO | |
| Clinical Social Worker | CA | |
| - | CA | |
| Clinical Social Worker | CA |
Reviews
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