Individual provider Active NPI

Summer Denaye Gonzales, PA

  • Physician Assistant
  • Oakland, CA
National Provider Identifier
1245979756
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62365 Issued in CA
Practice address
3100 Telegraph Ave
Oakland, CA 94609-3239
Phone
(800) 607-6377
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 PA62365 CA Primary

Addresses

Primary practice location

3100 Telegraph Ave
Oakland, CA 94609-3239

Mailing address

3100 Telegraph Ave
Oakland, CA 94609-3239

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address summer.gonzales@samuelmerritt.edu

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
I20230512002414 CA Practitioner - Physician Assistant 4486010691 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

245 Terracina Blvd
Suite 102
Redlands, CA 92373-4865
Phone (909) 406-2671

7000 Boulder Ave
Suite 103
Highland, CA 92346-3348
Phone (515) 441-6271

839 Highland Springs Ave
Suite 101
Beaumont, CA 92223-5767
Phone (951) 521-1580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA62365CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Exer Medical Corporation CurrentSince Nov 1, 2025 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Apr 8, 2023 Accepting new patients
Executive Medicine, Inc. CurrentSince Jul 10, 2024 Accepting new patients
Cep America - California CurrentSince Aug 1, 2023 Accepting new patients
Cep America - California CurrentSince Aug 1, 2023 Accepting new patients

Locations

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

1227 Buena Vista St
Ste F
Duarte, CA 91010
Phone (877) 254-4496

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1245979756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093239",
            "telephone_number": "800-607-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "SUMMER",
        "middle_name": "DENAYE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "summer.gonzales@samuelmerritt.edu",
            "affiliation": "N",
            "address_1": "3100 Telegraph Ave",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946093239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.