Active NPI
Johan-R Lomeli Gonzalez, PA
- Physician Assistant
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA59776
- Practice address
- 525 Doyle Park Dr Ste 102
Santa Rosa, CA 95405-4562 - Phone
- (707) 387-3922
- NPI assigned
- Mar 30, 2021
- Last updated
- Oct 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA59776 | CA | Primary |
Addresses
Primary practice location
525 Doyle Park Dr Ste 102
Santa Rosa, CA 95405-4562
Mailing address
525 Doyle Park Dr Ste 102
Santa Rosa, CA 95405-4562
Other practice location 1
1100 Van Ness Ave Fl 6
San Francisco, CA 94109-6978
Phone (415) 600-0528
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020
3838 California St
San Francisco, CA 94118-1506
400 Parnassus Ave
San Francisco, CA 94143-2202
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
521 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
601 Duboce Ave
San Francisco, CA 94117-3389
795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59776 | CA | MD | Pharmacist |
| PA59776 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Pediatrics Associates | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Dept of Surgery | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
1401 Spanos Ct
Ste 111
Modesto, CA 95355
Phone (209) 525-3181
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
795 El Camino Real
#1112
Palo Alto, CA 94301
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
1100 Van Ness Ave
Fl 6
San Francisco, CA 94109
Phone (415) 600-5760
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
525 Doyle Park Dr
Ste 102
Santa Rosa, CA 95405
Phone (707) 523-1873
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- jgonzalez2915543@oc.providencedirect.org
- jgonzalez588512@hisp.ehr.sutterhealth.org
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Dept of Medicine General Medicine
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
dba UCSF Medical Center
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
dba Professional Wound Specialists
- Surgery Physician
- Las Vegas, NV
- NPI 1699975144
CA
-
dba Newark Health Center
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
dba California Pacific Medical Center - Mission Bernal Campus
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1184202426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 DOYLE PARK DR STE 102",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 DOYLE PARK DR STE 102",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054562",
"telephone_number": "707-387-3922"
}
],
"practiceLocations": [
{
"address_1": "1100 Van Ness Ave Fl 6",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941096978",
"country_code": "US",
"telephone_number": "415-600-0528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JOHAN-R",
"middle_name": "LOMELI",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-30",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA59776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.