PATRICK & EDIVINA GONZALES MEDICAL GROUP INC
NPI 1619905080
Internal Medicine in Menifee, CA

Active since June 28, 2006
29798 HAUN RD, SUITE 106, MENIFEE, CA 92586(951) 301-3588(951) 301-4309 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patrick & Edivina Gonzales Medical Group Inc NPPES

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

PATRICK & EDIVINA GONZALES MEDICAL GROUP INC (NPI 1619905080) is a healthcare organization registered as an internal medicine in Menifee, California and active in the NPI registry since June 2006. The organization lists Patrick D. Gonzales, President, as its authorized official.

NPPES Registry Identity

NPI1619905080
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePATRICK & EDIVINA GONZALES MEDICAL GROUP INC
Location Address29798 HAUN RD, SUITE 106Menifee, CA 92586-6541
Mailing Address29798 Haun Rd, Suite 106Menifee, CA 92586-6541 · (951) 301-3588 · Fax (951) 301-4309
Fax(951) 301-4309
Organization SubpartNo
Authorized OfficialPatrick D. GonzalesPresident · (951) 301-3588
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 3, 2008
✔ NPI 1619905080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A506690
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
29798 HAUN RD, Menifee, CA 92586

Other Identifiers 1

Medicare PINZZZ21362ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Patrick & Edivina Gonzales Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Practice
NPI 1386670479
29798 HAUN RD SUITE 106
Sun City, CA 92586
(951) 301-3588
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1194751289
29798 HAUN RD SUITE 106
Sun City, CA 92586
(951) 301-3588
✔ 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.

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 Patrick & Edivina Gonzales Medical Group Inc's NPI number?

The NPI number for Patrick & Edivina Gonzales Medical Group Inc is 1619905080. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Patrick & Edivina Gonzales Medical Group Inc located?

Patrick & Edivina Gonzales Medical Group Inc is located at 29798 Haun Rd Suite 106, Menifee, CA 92586. The listed phone number is (951) 301-3588.

What is Patrick & Edivina Gonzales Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patrick & Edivina Gonzales Medical Group Inc enrolled in Medicare?

Yes. Patrick & Edivina Gonzales Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patrick & Edivina Gonzales Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Patrick & Edivina Gonzales Medical Group Inc, in General Practice and Internal Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patrick & Edivina Gonzales Medical Group Inc was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.