PEDRO GONZALEZ PA-C
NPI 1114947447
Physician Assistant - Medical in Los Angeles, CA

Q: What is Pedro Gonzalez's NPI number?

The NPI number for Pedro Gonzalez is 1114947447. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Pedro Gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Pedro Gonzalez was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 20, 2006PECOS Enrolled

3301 N EASTERN AVE, LOS ANGELES, CA 90032(323) 225-2351(323) 225-7555 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pedro Gonzalez Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDRO GONZALEZ PA-C (NPI 1114947447) is an individual medical provider in Los Angeles, California, licensed in California (PA-C 16154) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1114947447

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NamePEDRO GONZALEZCredential: PA-C

Location Address3301 N EASTERN AVELos Angeles, CA 90032-1931

Mailing Address2212 Gates StLos Angeles, CA 90031-2906 · (323) 343-9303 · Fax (323) 225-7555

Phone(323) 225-2351

Fax(323) 225-7555

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1114947447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA-C 16154

3301 N EASTERN AVE, Los Angeles, CA 90032

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Secondary Practice Location 1

Location 11530 S Olive StLos Angeles, CA 90015-3023 · Phone (213) 747-5542 · Fax (213) 746-9379

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pedro Gonzalez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers14 claims36 services$6.11 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers12 claims21 services$0.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES N WANG D.O.

Family Medicine