Individual provider Active NPI

Maria Carla Gong, NP

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1043895956
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016747 Issued in CA
Practice address
8311 Florence Ave
Downey, CA 90240-3928
Phone
(702) 579-3203
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95016747 CA
Family Nurse Practitioner 363LF0000X 95016747 CA Primary

Addresses

Primary practice location

8311 Florence Ave
Downey, CA 90240-3928

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

10441 Lakewood Blvd Ste Ab
Downey, CA 90241-2744
Phone (562) 869-1070

Other practice location 2

5623 Kanan Rd
Agoura Hills, CA 91301-3358
Phone (818) 991-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804003854 CA Practitioner - Nurse Practitioner 1254735715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

2699 Atlantic Ave
Long Beach, CA 90806-2710
Phone (562) 426-3333

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Apr 22, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 20, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Oct 20, 2021 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Apr 22, 2021 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

5623 Kanan Rd
Agoura Hills, CA 91301
Phone (818) 991-5522

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11525 Brookshire Ave
Ste 300
Downey, CA 90241
Phone (562) 869-1070

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

10441 Lakewood Blvd
Ste Ab
Downey, CA 90241
Phone (562) 869-1070

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

Interoperability endpoints

  • Direct secure messaging: mchan203290@westdirect.optum.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1043895956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 FLORENCE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403928",
            "telephone_number": "702-579-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10441 Lakewood Blvd Ste Ab",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902412744",
            "country_code": "US",
            "telephone_number": "562-869-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5623 Kanan Rd",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913013358",
            "country_code": "US",
            "telephone_number": "818-991-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONG",
        "first_name": "MARIA CARLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95016747",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.