Individual provider Active NPI

Valentina Gonzalez

  • Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1740824853
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57332 Issued in CA
Practice address
7290 Edinger Ave Unit 4045
Huntington Beach, CA 92647-0948
Phone
(713) 384-8969
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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
Physician Assistant 363A00000X 57332 CA Primary

Addresses

Primary practice location

7290 Edinger Ave Unit 4045
Huntington Beach, CA 92647-0948

Mailing address

7290 Edinger Ave Unit 4045
Huntington Beach, CA 92647-0948

Other practice location 1

1360 W 6th St Ste 370
San Pedro, CA 90732-3527
Phone (310) 519-8890

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

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
I20230724001271 CA Practitioner - Physician Assistant 3870953789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

11100 Warner Ave
Suite 264
Fountain Valley, CA 92708-7512
Phone (714) 549-1770

1165 N Euclid St
Anaheim, CA 92801-1938
Phone (714) 991-9990

1360 W 6TH St
Suite 370
San Pedro, CA 90732-3527
Phone (310) 519-8890

4201 Torrance Blvd
Suite 640
Torrance, CA 90503-4524
Phone (310) 543-4444

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David B. Friedman, MD, Inc Current Accepting new patients

Locations

1165 N Euclid St
Anaheim, CA 92801
Phone (714) 991-9990

Interoperability endpoints

  • Direct secure messaging: vagonzalez@csisouthca.emadirect.md

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1740824853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 EDINGER AVE UNIT 4045",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926470948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 EDINGER AVE UNIT 4045",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926470948",
            "telephone_number": "713-384-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 W 6th St Ste 370",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323527",
            "country_code": "US",
            "telephone_number": "310-519-8890",
            "fax_number": "310-519-9349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VALENTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "7290 Edinger Ave",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926470901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.