MICHAEL GONZALEZ
NPI 1790477875
Nurse Practitioner - Family in Pomona, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Upland, CA 91786
- Reassigned Medicare billing, California enrollment
- 840 clinicians in this Medicare group
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.
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.
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.
POMONA, CA 91766
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.
Which organization bills Medicare for Michael Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gonzalez reassigns Medicare benefits to Pih Health Physicians (Upland, CA). The 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 Michael Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Michael Gonzalez · NPI 1790477875
Family physician in Pomona, California. Individual provider, active in the CMS NPPES registry since May 25, 2023.
## Identity
- **NPI:** 1790477875 (Entity type: Individual)
- **Enumerated:** May 25, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95025346 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2112 S GAREY AVE, Pomona, CA 91766-5600
- **Phone:** (909) 464-0520
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pih Health Physicians (NPI 1437815313, Upland, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790477875) · Data from the CMS NPPES public registry.