ALEJANDRO LAZARO GONZALEZ
NPI 1538108097
General Practice in South Gate, CA

Q: What is Alejandro Gonzalez's NPI number?

The NPI number for Alejandro Gonzalez is 1538108097. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Alejandro Gonzalez's specialty?

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

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

4225 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 564-6464(562) 222-7221 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2023, Apr 27, 2017 (2 updates tracked since 2017).

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About Alejandro Lazaro Gonzalez NPPES

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

ALEJANDRO LAZARO GONZALEZ (NPI 1538108097) is an individual general practice provider in South Gate, California, licensed in California (20A6453) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1992).

NPPES Registry Identity

NPI1538108097

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameALEJANDRO LAZARO GONZALEZ

Location Address4225 TWEEDY BLVDSouth Gate, CA 90280-6217

Mailing Address4225 Tweedy BlvdSouth Gate, CA 90280-6217 · (323) 564-6464 · Fax (562) 222-7221

Phone(323) 564-6464

Fax(562) 222-7221

Sole ProprietorYes

Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1992

Enumeration DateJune 6, 2006

Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1538108097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · 20A6453

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 ListedInternal MedicineTaxonomy 207R00000X · License 20A6453 (CA)

4225 TWEEDY BLVD, South Gate, CA 90280

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Other Identifiers 1

Medicaid00AX64530CA

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

Alejandro Lazaro Gonzalez 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.

PECOS PAC ID9830007152

PECOS Enrollment IDI20080229000534

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.

Medicare Billing Reassignments

Medicare enrollment records show Alejandro Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loyola Family Health Center Professional Corporation

Same address

General Practice

4225 TWEEDY BLVD
South Gate, CA 90280

Reassigned Medicare billing, California enrollment

NPI 1760947451 (323) 564-6464

Optimum Medical Clinics Inc

27 mi

Family Medicine

20072 SW BIRCH ST, STE 100
Newport Beach, CA 92660

Reassigned Medicare billing, California enrollment
5 clinicians in this Medicare group

NPI 1649354366 (949) 757-1150

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

115 services48 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier24 claims24 services$15.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier24 claims24 services$73.36 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 5

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

STEVE IM MD. PAIN MANAGEMENT, INC.

Pain Medicine (Interventional Pain Medicine)