Individual provider Active NPI

Johan-R Lomeli Gonzalez, PA

  • Physician Assistant
  • Santa Rosa, CA
National Provider Identifier
1184202426
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59776 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118001787 CA Practitioner - Physician Assistant 3577952266 Reassigns benefits to 10 organizations

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
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

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

LicenseStateTypeSpecialty
59776CAMDPharmacist
PA59776CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 18, 2025 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jul 1, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 21, 2025 Accepting new patients
UCSF Pediatrics Associates CurrentSince Nov 21, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 21, 2025 Accepting new patients
UCSF Dept of Surgery CurrentSince Nov 21, 2025 Accepting new patients
Alameda Health System CurrentSince Feb 29, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Jul 1, 2023 Accepting new patients
University of California San Francisco CurrentSince Nov 21, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 18, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 1, 2021 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 1, 2021 Accepting new patients
Alameda Health System CurrentSince Feb 29, 2024 Accepting new patients
Regents of the University of California CurrentSince Nov 21, 2025 Accepting new patients
University of California San Francisco CurrentSince Nov 21, 2025 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

  • Direct secure messaging: jgonzalez2915543@oc.providencedirect.org
  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.