Individual provider Active NPI

Isaac Medina Gonzalez, FNP

  • Family Nurse Practitioner
  • El Monte, CA
National Provider Identifier
1740074434
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034026 Issued in CA
Practice address
11001 Main St Ste 301E
El Monte, CA 91731-2683
Phone
(626) 443-4300
NPI assigned
Apr 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95034026 CA Primary

Addresses

Primary practice location

11001 Main St Ste 301E
El Monte, CA 91731-2683

Mailing address

11001 Main St Ste 301E
El Monte, CA 91731-2683
Phone (626) 443-4300

Other practice location 1

7400 Pacific Blvd Ste A,B
Huntington Park, CA 90255
Phone (323) 583-8383

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
I20251126003116 CA Practitioner - Nurse Practitioner 1557853405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allmed of Los Angeles IncGroup PAC ID 2860918752, 12 clinicians

Practice addresses (Care Compare)

11001 Main St
FL 3
El Monte, CA 91731-2620
Phone (626) 443-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034026CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allmed of Los Angeles, Inc CurrentSince Aug 9, 2025 Accepting new patients
Allmed of Los Angeles, Inc CurrentSince Aug 9, 2025 Accepting new patients

Locations

11001 Main St
Ste 301E
El Monte, CA 91731
Phone (626) 443-4300

672 S Carondelet St
Los Angeles, CA 90057
Phone (213) 384-3434

7400 Pacific Blvd
Ste Ab
Walnut Park, CA 90255
Phone (323) 538-9050

7400 Pacific Blvd
Walnut Park, CA 90255
Phone (323) 538-9050

7400 Pacific Blvd
Ste A
Walnut Park, CA 90255
Phone (323) 583-9050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: medina.issac.001.0050931@cmg.meditab.direct-ci.com

Organizations & group practices 2

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": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1740074434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 MAIN ST STE 301E",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312683",
            "telephone_number": "626-443-4300",
            "fax_number": "626-443-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 MAIN ST STE 301E",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312683",
            "telephone_number": "626-443-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Pacific Blvd Ste A,B",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "90255",
            "country_code": "US",
            "telephone_number": "323-583-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA GONZALEZ",
        "first_name": "ISAAC",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.