DIMITRI GONZALES MD, MPH
NPI 1811699150
Family Medicine in San Diego, CA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Dimitri Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92115
- Reassigned Medicare billing, California enrollment
- 1,100 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.
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.
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.
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
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 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.
Where is Dimitri Gonzales located?
Dimitri Gonzales practices at 5454 El Cajon Blvd, San Diego, CA 92115. The listed phone number is (619) 515-2400.
What is Dimitri Gonzales's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dimitri Gonzales enrolled in Medicare?
Yes. Dimitri Gonzales 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 Dimitri Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dimitri Gonzales reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (San Diego, 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 Dimitri Gonzales'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 Dimitri Gonzales was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Dimitri Gonzales, MD, MPH · NPI 1811699150
Family Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1811699150 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 197248 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5454 EL CAJON BLVD, San Diego, CA 92115-3621
- **Phone:** (619) 515-2400
## 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:** Family Health Centers Of San Diego, Inc (NPI 1023054004, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811699150) · Data from the CMS NPPES public registry.