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

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20201113000971 CA Practitioner - Nurse Practitioner 2961812300 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014268CAMDFamily Nurse Practitioner

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Southland Emergency Medical Associates Inc Current
since Oct 1, 2022
Accepting new patients
Sac Health System Current Accepting new patients
Southern California Permanente Medical Group Current
since Nov 28, 2023
Accepting new patients
Faculty Physicians and Surgeons of Llusm Current
since Sep 16, 2022
Accepting new patients
Sac Health System Current
since Nov 15, 2022
Accepting new patients
Sac Health System Current
since Nov 15, 2022
Accepting new patients
Southern California Permanente Medical Group Current
since Nov 28, 2023
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

  • Direct secure messaging: alpha.gonzalez.1@10718.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2026.

{
    "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

All providers in Los Angeles, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.