NPIMap

Individual provider Active NPI

Andres Gonzalez, M.D.

  • Family Medicine Physician
  • Montclair, CA
National Provider Identifier
1669892147
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A160421 Issued in CA
Practice address
9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231
Phone
(909) 626-1205
NPI assigned
Apr 23, 2014
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A160421 CA Primary
Hospitalist Physician 208M00000X A160421 CA

Addresses

Primary practice location

9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231

Mailing address

9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231
Phone (909) 626-1205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213002037 CA Practitioner - Family Practice 1355693060 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Physicians Primary Care ServicesGroup PAC ID 4385047380, 8 clinicians
Inland Physicians Hospitalist ServicesGroup PAC ID 5294135612, 14 clinicians

Practice addresses (Care Compare)

Claremont, CA 91711
Phone (909) 816-7927

9525 Monte Vista Ave
Suite 105
Montclair, CA 91763-2231
Phone (909) 626-1205

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A160421CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Pulmonary Medical Group Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Inland Physicians Primary Care Services Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Inland Physicians Hospitalist Services Hospitalist CurrentSince May 1, 2021 Accepting new patients
Inland Physicians Pulmonary Services Current Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Mercy Hospital Inc Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

9525 Monte Vista Ave
Unit 105
Montclair, CA 91763
Phone (909) 626-1205

9625 Monte Vista Ave
Ste 105
Montclair, CA 91763

9635 Monte Vista Ave
Ste 204
Montclair, CA 91763
Phone (909) 906-3446

9635 Monte Vista Ave
Ste 205
Montclair, CA 91763
Phone (909) 449-9328

9655 Monte Vista Ave
Ste 402
Montclair, CA 91763
Phone (909) 591-6575

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

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

1113 Alta Ave
Ste 220
Upland, CA 91786
Phone (909) 985-1908

637 N 13th Ave
Upland, CA 91786
Phone (909) 625-1977

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alta Loma Hospice, Inc.Ontario, CA, CCN 751656 Hospice Contracted Managing Employee Dec 3, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1669892147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE STE 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-626-1205",
            "fax_number": "909-625-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE STE 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-626-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A160421",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A160421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.