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MICHAEL GONZALEZ
NPI 1790477875
Nurse Practitioner - Family in Pomona, CA

Active since May 25, 2023PECOS EnrolledAccepts Medicare Assignment
2112 S GAREY AVE, POMONA, CA 91766(909) 464-0520 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Gonzalez NPPES

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

MICHAEL GONZALEZ (NPI 1790477875) is an individual family provider in Pomona, California, licensed in California (95025346) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790477875
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL GONZALEZ
Location Address2112 S GAREY AVEPomona, CA 91766-5600
Mailing Address840 Towne Center DrPomona, CA 91767-5900
Phone(909) 464-0520
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 25, 2023
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1790477875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95025346
2112 S GAREY AVE, Pomona, CA 91766
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael 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 ID1254866726
PECOS Enrollment IDI20241120001947
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.

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.
40 services38 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MARIA P ASTILLERO FNP
Nurse Practitioner (Family)
2112 S GAREY AVE
POMONA, CA 91766
Los Angeles County (909) 464-0520
FERAS AND HISHAM A MEDICAL CORPORATION
Clinic/Center (Health Service)
2112 S GAREY AVE, SUITE C
POMONA, CA 91766
Los Angeles County (909) 464-0520

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 Michael Gonzalez's NPI number?

The NPI number for Michael Gonzalez is 1790477875. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Michael Gonzalez located?

Michael Gonzalez practices at 2112 S Garey Ave, Pomona, CA 91766. The listed phone number is (909) 464-0520.

What is Michael Gonzalez's specialty?

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

Is Michael Gonzalez enrolled in Medicare?

Yes. Michael Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Gonzalez was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.