Alyssa Gonzales, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2005-0043 Issued in NM

Practice address

2411 Cabezon Blvd SE Ste 103
Rio Rancho, NM 87124-1514

Phone

(505) 883-9570

Fax

(505) 883-4163

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: alyssa.gonzales.1@20790.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20790/brand/1/csg/1/fhir/r4

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.

• Journey Pediatrics PC

  • Primary Care Clinic/Center
  • Albuquerque, NM
  • NPI 1205205630
  NPD (past)
• Optumcare Endoscopy Center New Mexico, LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1962685834
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1992990436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 CONSTITUTION PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107637",
            "telephone_number": "505-883-9570",
            "fax_number": "505-883-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CABEZON BLVD SE STE 103",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241514",
            "telephone_number": "505-883-9570",
            "fax_number": "505-883-4163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87111",
            "country_code": "US",
            "telephone_number": "505-275-4270",
            "fax_number": "505-232-1017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 Coors Blvd NW",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871201173",
            "country_code": "US",
            "telephone_number": "505-839-2300",
            "fax_number": "505-839-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 Coors Blvd NW",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871201173",
            "country_code": "US",
            "telephone_number": "505-839-2300",
            "fax_number": "505-839-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8308 Constitution Pl NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107637",
            "country_code": "US",
            "telephone_number": "505-883-9570",
            "fax_number": "505-883-4163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ALYSSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2005-0043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00739847",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan David Gomez Cifuentes, MD
• Dallin Gomez, DDS
• Gabriel Gomez, PHARM-D
• Kyle Gonterman
• Grace Gontis
• Alyssa Nicole Gonzales, LCSW, SSW
• Andrea Gonzales
• Doris Kay Gonzales, CNP
• Eric M Gonzales
• Jennifer M Gonzales, BMS

• Medical Physician Assistant in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.