Active NPI
Nicolette Gonzalez, PA-C
- Physician Assistant
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA63835
- Practice address
- 3900 5TH Ave
San Diego, CA 92103-3121 - Phone
- (858) 554-1212
- NPI assigned
- May 26, 2021
- Sex
- Female
- 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 | PA63835 | CA | Primary |
Addresses
Primary practice location
3900 5TH Ave
San Diego, CA 92103-3121
Mailing address
310 A St Apt 2102
San Diego, CA 92101-4323
Phone (619) 751-7765
Other practice location 1
4723 W Main St Ste H
Guadalupe, CA 93434-1787
Phone (805) 343-5577
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
- Touro Un College of Osteopathic Medicine, Vallejo, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10538 Mission Gorge Rd
Suite 100
Santee, CA 92071-3154
Phone (619) 456-0033
1740 Rosecrans St
San Diego, CA 92106-1928
Phone (619) 790-7800
1905 Calle Barcelona
Suite 211
Carlsbad, CA 92009-8452
Phone (858) 766-6007
3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855
3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212
4142 Adams Ave
Suite 102
San Diego, CA 92116-2593
Phone (858) 617-0717
4275 Mission Bay Dr
San Diego, CA 92109-5775
750 Otay Lakes Rd
Suite 272
Chula Vista, CA 91910-6915
752 Medical Ctr CT
Suite 200
Chula Vista, CA 91911-6659
Phone (619) 421-4311
760 Otay Lakes Rd
Chula Vista, CA 91910-6915
Phone (619) 821-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA63835 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somagen Healthcare Inc | Current | Accepting new patients | |
| SD Sports Medicine and Family Health Center | Current | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Somagen Healthcare Inc | Past | Accepting new patients |
Locations
750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462
760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300
8260 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (855) 362-9773
1945 Garnet Ave
San Diego, CA 92109
Phone (858) 224-7977
8590 Rio San Diego Dr
Ste 111
San Diego, CA 92108
Phone (619) 736-4600
6699 Alvarado Rd
Ste 2100
San Diego, CA 92120
Phone (619) 229-3909
1740 Rosecrans St
San Diego, CA 92106
Phone (619) 790-7800
5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773
10505 Sorrento Valley Rd
Ste 200
San Diego, CA 92121
Phone (858) 793-7860
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 11
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.
-
dba AFC Urgent Care San Diego
- Urgent Care Clinic/Center
- Santee, CA
- NPI 1396058137
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1669472510
-
dba AFC Urgent Care Granada Hills
- Urgent Care Clinic/Center
- Granada Hills, CA
- NPI 1043667660
-
dba Ucsd Medical Center Pharmacy
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Family Medicine Physician
- San Diego, CA
- NPI 1790179539
-
dba AFC Urgent Care San Diego
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1558788620
-
dba AFC Urgent Care San Diego
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1770015901
-
dba AFC Urgent Care San Diego
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1952995466
-
dba AFC Urgent Care San Diego
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1992237127
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1265007819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 A ST APT 2102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921014323",
"telephone_number": "619-751-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 5TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033121",
"telephone_number": "858-554-1212"
}
],
"practiceLocations": [
{
"address_1": "4723 W Main St Ste H",
"address_purpose": "LOCATION",
"city": "Guadalupe",
"state": "CA",
"postal_code": "934341787",
"country_code": "US",
"telephone_number": "805-343-5577",
"fax_number": "805-343-5578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "NICOLETTE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.