Carina Gonzalez, PA-C
Individual provider Active NPI Physician Assistant · Patterson, CA
NPI 1083578587 · NPPES record last updated Apr 24, 2026
Key facts
- NPI
- 1083578587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1700 Keystone Pacific Pkwy Unit B
Patterson, CA 95363-8874 - Phone
- (209) 892-9100
- NPI assigned
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601000064 | CA | Order and Referring Only - Physician Assistant | 3870063837 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Del Puerto Health Care District | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/20554/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1700 Keystone Pacific Pkwy Unit B
Patterson, CA 95363-8874
Mailing address
1700 Keystone Pacific Pkwy Unit B
Patterson, CA 95363-8874
Phone (209) 892-9100
Other providers in Patterson, CA
- Golden Valley Health Centers
- Golden Valley Health Centers
- Golden Valley Health Centers
- Golden Valley Health Centers
- Golden Valley Health Centers
- Gagneet K Grewal
- Jaskiran K Grewal
- Mandeep Kaur Grewal
- Harkirat Dhillon DDS Inc
- Brianna Heim
All providers in Patterson, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.