DR. KELLY D GONZALES DNP
NPI 1194109702
Nurse Practitioner - Family in San Diego, CA

Q: What is Kelly Gonzales's NPI number?

The NPI number for Kelly Gonzales is 1194109702. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Q: What is Kelly Gonzales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Gonzales was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 13, 2015

4282 GENESEE AVE STE 103, SAN DIEGO, CA 92117(858) 292-0108(858) 292-9097 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelly D Gonzales Dnp NPPES

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

DR. KELLY D GONZALES DNP (NPI 1194109702) is an individual family provider in San Diego, California, licensed in California (95002691) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1194109702

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. KELLY D GONZALESCredential: DNP

Location Address4282 GENESEE AVE STE 103San Diego, CA 92117

Mailing Address4282 Genesee Ave Ste 103San Diego, CA 92117-4961 · (858) 292-0108 · Fax (858) 292-9097

Phone(858) 292-0108

Fax(858) 292-9097

Sole ProprietorYes

Enumeration DateJuly 13, 2015

Last NPPES UpdateJune 12, 2018

✔ NPI 1194109702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95002691

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 95002691 (CA)

4282 GENESEE AVE STE 103, San Diego, CA 92117

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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 Kelly Gonzales's NPI number?

The NPI number for Kelly Gonzales is 1194109702. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Kelly Gonzales located?

Kelly Gonzales practices at 4282 Genesee Ave Ste 103, San Diego, CA 92117. The listed phone number is (858) 292-0108.

What is Kelly Gonzales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Gonzales was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.