Individual provider Active NPI

Kimberly Gonzalez, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1326673542
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57913 Issued in CA
Practice address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone
(888) 959-5192
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA57913 CA
Physician Assistant 363A00000X 57913 CA Primary

Addresses

Primary practice location

210 N Tustin Ave
Santa Ana, CA 92705-3807

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (888) 959-5192

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
I20200428002230 CA Practitioner - Physician Assistant 8820428170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centers for Family Medicine GPGroup PAC ID 9931143799, 87 clinicians

Practice addresses (Care Compare)

10601 Walker St
Suite 250
Cypress, CA 90630-4733
Phone (714) 252-8311

1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone (714) 995-1000

13930 Seal Beach Blvd
Seal Beach, CA 90740-5301
Phone (562) 430-8888

1501 W Commonwealth Ave
Fullerton, CA 92833-2727
Phone (714) 995-1000

29873 Santa Margarita Pkwy
Suite 100
Rancho Santa Margarita, CA 92688-3626
Phone (949) 709-0988

3460 Katella Ave
Los Alamitos, CA 90720-2334
Phone (562) 594-6599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57913CAMDPhysician Assistant
PA57913CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince May 1, 2025 Accepting new patients
Beaver Medical Group P C Current Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

24221 Calle de la Louisa
Ste 300
Laguna Hills, CA 92653
Phone (949) 334-8270

30281 Golden Lantern
Laguna Niguel, CA 92677
Phone (858) 788-4040

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Interoperability endpoints

  • Direct secure messaging: kimberly.gonzalez.p33@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: kimberly.gonzalez.p7@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: kgonzalez195017@westdirect.optum.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1326673542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "888-959-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "888-959-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KIMBERLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57913",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.