JACQUELINE GONZALEZ N.P.
NPI 1053711069
Nurse Practitioner - Family in Sylmar, CA
About Jacqueline Gonzalez N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE GONZALEZ N.P. (NPI 1053711069) is an individual family provider in Sylmar, California, licensed in California (95001151) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Gonzalez N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sylmar, CA 91342
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Los Angeles
- 1,939 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYLMAR, CA 91342
SYLMAR, CA 91342
SYLMAR, CA 91342
SYLMAR, CA 91342
SYLMAR, CA 91342
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Gonzalez's NPI number?
The NPI number for Jacqueline Gonzalez is 1053711069. It was assigned to this individual provider in the NPPES registry on August 27, 2014.
Where is Jacqueline Gonzalez located?
Jacqueline Gonzalez practices at 14445 Olive View Dr, Sylmar, CA 91342. The listed phone number is (818) 364-3031.
What is Jacqueline Gonzalez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Gonzalez enrolled in Medicare?
Yes. Jacqueline Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jacqueline Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Gonzalez reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Sylmar, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Gonzalez was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Gonzalez, N.P. · NPI 1053711069
Family physician in Sylmar, California. Individual provider, active in the CMS NPPES registry since August 27, 2014.
## Identity
- **NPI:** 1053711069 (Entity type: Individual)
- **Enumerated:** August 27, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95001151 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 14445 OLIVE VIEW DR, Sylmar, CA 91342-1437
- **Phone:** (818) 364-3031
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Los Angeles Auditor Controller (NPI 1134159320, Sylmar, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053711069) · Data from the CMS NPPES public registry.