Alpha Shanika Gonzalez, FNP
Individual provider Active NPI Family Nurse Practitioner · Los Angeles, CA
NPI 1801425145 · NPPES record last updated Apr 28, 2026
Key facts
- NPI
- 1801425145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95014268 (CA)
- Practice address
- 200 N Main St
Los Angeles, CA 90012-4110 - Phone
- (213) 978-3800
- NPI assigned
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201113000971 | CA | Practitioner - Nurse Practitioner | 2961812300 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014268 | CA | MD | Family Nurse Practitioner |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Southland Emergency Medical Associates Inc | Current |
Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Sac Health System | Current |
Accepting new patients | |
| Sac Health System | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- alpha.gonzalez.1@10718.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95014268 | CA | Yes |
Addresses
Primary practice location
200 N Main St
Los Angeles, CA 90012-4110
Mailing address
200 N Main St
Los Angeles, CA 90012-4110
Phone (213) 978-3800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
NPI Registry JSON
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1801425145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N MAIN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124110",
"telephone_number": "213-978-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MAIN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124110",
"telephone_number": "213-978-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ALPHA",
"middle_name": "SHANIKA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95014268",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9961 Sierra Ave",
"city": "Fontana",
"state": "CA",
"country_code": "US",
"postal_code": "923356720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
- Alex Gonzalez
- Alfonso Ryan Gonzalez
- Alfredo Gonzalez
- Alicia Gonzalez
- Alina Victoria Gonzalez
- Amy Gonzalez
- Ana D Gonzalez
- Ana Lupita Gonzalez
- Ana Melissa Gonzalez
- Anahi Gonzalez
All providers in Los Angeles, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.