Michael Gonzalez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

59124 Issued in CA

Practice address

10538 Mission Gorge Rd Ste 100
Santee, CA 92071-3154

Phone

(619) 456-0033

NPI assigned

Dec 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Santee, CA
  • NPI 1396058137

  CA

  Medicare reassignment Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1992237127
  Care Compare group NPD
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Chula Vista, CA
  • NPI 1316225147
  Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1558788620
  Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1770015901
  Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1952995466
  Care Compare group
• Southbay Urgent Care Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1558746750
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1285230490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 BOUNDARY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10538 MISSION GORGE RD STE 100",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713154",
            "telephone_number": "619-456-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-07-12",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M. Gibson, PH.D.
• Sarah Dawn Gilliland
• Tanya Gjetley, ATC
• Susan B Godwin, CA-HAD
• Christine Anne Sarmiento Gonzalez, RN
• Nathalie Gonzalez, SLP
• Shamini M. Govender, M.D.
• Anissa Nisha Govind, CF-SLP
• Jasmine Pascua Gozum
• Jeanne M Grant, D.C.

• All providers in Santee, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.

Verify at the official NPI Registry.