Individual provider Active NPI

Wendy Gonzalez, FNP-BC

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1194658690
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95039832 Issued in CA
Practice address
24119 Hemlock Ave Ste 104
Moreno Valley, CA 92557-7221
Phone
(951) 414-8294
Fax
(951) 252-8668
NPI assigned
Jun 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95039832 CA Primary

Addresses

Primary practice location

24119 Hemlock Ave Ste 104
Moreno Valley, CA 92557-7221

Mailing address

24119 Hemlock Ave Ste 104
Moreno Valley, CA 92557-7221
Phone (951) 414-8294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28780 Single Oak Dr
Suite 160
Temecula, CA 92590-3625

28780 Single Oak Dr
Suite 160
Temecula, CA 92590-5528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95039832CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1194658690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24119 HEMLOCK AVE STE 104",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577221",
            "telephone_number": "951-414-8294",
            "fax_number": "951-252-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24119 HEMLOCK AVE STE 104",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577221",
            "telephone_number": "951-414-8294",
            "fax_number": "951-252-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "WENDY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.