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ROMMEL GONZALES MEDICAL GROUP INC
NPI 1275965105
General Practice in Los Angeles, CA

Active since August 02, 2013CLIA 05D2068131 · Waiver
508 S ALVARADO ST, LOS ANGELES, CA 90057(213) 483-3600(213) 484-4555 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rommel Gonzales Medical Group Inc NPPES

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

ROMMEL GONZALES MEDICAL GROUP INC (NPI 1275965105) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Rommel Angel Gonzales, President, as its authorized official.

NPPES Registry Identity

NPI1275965105
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameROMMEL GONZALES MEDICAL GROUP INC
Location Address508 S ALVARADO STLos Angeles, CA 90057-2904
Mailing Address508 S Alvarado StLos Angeles, CA 90057-2904 · (213) 483-3600
Phone(213) 483-3600
Fax(213) 484-4555
Organization SubpartNo
Authorized OfficialRommel Angel GonzalesPresident · (213) 483-3600
Enumeration DateAugust 2, 2013
Last NPPES UpdateJune 20, 2018
✔ NPI 1275965105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A122760
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License A122760 (CA)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License A122760 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A122760 (CA)
508 S ALVARADO ST, Los Angeles, CA 90057
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rommel Gonzales Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rommel Gonzales Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rommel Gonzales, MD
Family Practice
NPI 1386998227
508 S. ALVARADO ST.
Los Angeles, CA 90057
(818) 500-5586
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2068131

Rommel Gonzales Medical Group, Inc · Los Angeles, CA
Active · expires Oct 27, 2027
CLIA Number05D2068131
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorRommel Gonzales, MD
Laboratory Phone(213) 483-3600
Laboratory LocationRommel Gonzales Medical Group, Inc508 S. Alvarado Street, Los Angeles, CA 90057
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rommel Gonzales Medical Group Inc's NPI number?

The NPI number for Rommel Gonzales Medical Group Inc is 1275965105. It was assigned to this organization in the NPPES registry on August 2, 2013.

Where is Rommel Gonzales Medical Group Inc located?

Rommel Gonzales Medical Group Inc is located at 508 S Alvarado St, Los Angeles, CA 90057. The listed phone number is (213) 483-3600.

What is Rommel Gonzales Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rommel Gonzales Medical Group Inc enrolled in Medicare?

Yes. Rommel Gonzales Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rommel Gonzales Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rommel Gonzales Medical Group Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rommel Gonzales Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2068131) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rommel Gonzales Medical Group Inc was last updated on June 20, 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.