Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Gonsalves, MD

Individual provider Surgery Physician · NPI 1124553987

Nicholas Gonsalves, MD is a General Surgery in Oakland, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2016, 10 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
10
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

365 Hawthorne Ave Ste 101
Oakland, CA 94609-3115
Phone: (510) 465-5523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 27206 Calaroga Ave Ste 206, Hayward, CA 94545-4300 — (510) 732-5731
  • 4445 Magnolia Ave, Riverside, CA 92501-4135 — (951) 788-3000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A163255 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124553987
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2017
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address365 Hawthorne Ave Ste 101, Oakland, CA 94609-3115

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Oakland