DIMITRI GONZALES MD, MPH
NPI 1811699150
Family Medicine in San Diego, CA

Q: What is Dimitri Gonzales's NPI number?

The NPI number for Dimitri Gonzales is 1811699150. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Dimitri Gonzales's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dimitri Gonzales was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment

5454 EL CAJON BLVD, SAN DIEGO, CA 92115(619) 515-2400 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2025, Mar 20, 2023 (2 updates tracked since 2023).

On this page

About Dimitri Gonzales Md, Mph NPPES

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

DIMITRI GONZALES MD, MPH (NPI 1811699150) is an individual family medicine provider in San Diego, California, licensed in California (197248) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2023).

NPPES Registry Identity

NPI1811699150

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDIMITRI GONZALESCredential: MD, MPH

Location Address5454 EL CAJON BLVDSan Diego, CA 92115-3621

Mailing Address5454 El Cajon BlvdSan Diego, CA 92115-3621

Phone(619) 515-2400

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1811699150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 197248

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5454 EL CAJON BLVD, San Diego, CA 92115

Open in Google Maps ↗

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

Dimitri Gonzales Md, Mph 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 ID7315458619

PECOS Enrollment IDI20250613002908

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92115 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

MS. LOURDES APODACA LCSW

Social Worker (Clinical)