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Michael Alexis Gonzalez

Physician Assistant β€’ Colton, CA

Active NPI 1497547137 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

400 N Pepper Ave # 205
Colton, CA 923241801

Call 9095801775 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 N Pepper Ave # 205

Colton, CA 923241801

Telephone 9095801775
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: San Bernardino Medical Orthopaedic Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Gonzalez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Gonzalez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Colton and California

162 active clinicians are listed under Physician Assistant with a practice address in Colton, CA (14,458 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Colton

4.3% of these 162 clinicians have the CMS telehealth indicator.

50.6% of these 162 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA PA67109

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20251113003658

Enrollment State Jurisdiction

CA

PECOS Control ID

4082105416

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

San Bernardino Medical Orthopaedic Group Inc

400 N Pepper Ave, Colton, CA 923241801

Phone: 9095803390

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Vanessa Barkley

Physician Assistant

NPI 1104412543
Daniel Cornejo , PA

Physician Assistant

NPI 1508423492

Physician Assistant

Travis Davison , PA

Physician Assistant

NPI 1679120661

Physician Assistant

Wade Fueconcillo

Physician Assistant

NPI 1912496423
NPI 1043941651

PHYSICIANASSISTANT

Bacilio Ruiz , PA

Physician Assistant

NPI 1851932099

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 14, 2025

Registered at 400 N PEPPER AVE # 205, COLTON, CA 923241801 (Tel: 9095801775)

πŸ“
Updated Business Mailing Address October 14, 2025

Registered at 400 N PEPPER AVE # 205, COLTON, CA 923241801 (Tel: 9095801775)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Physician Assistant (license number reported to NPPES: CA PA67109)

βœ…
NPI Profile Active May 19, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 19, 2025

Registered at 11807 LARINO DR, RANCHO CUCAMONGA, CA 917018709 (Tel: 9099211719)

πŸ“
Business Mailing Address (Initial Record) May 19, 2025

Registered at 11807 LARINO DR, RANCHO CUCAMONGA, CA 917018709 (Tel: 9099211719)

πŸ‘€
Provider Name / Credentials (Initial Record) May 19, 2025

Recorded as MICHAEL GONZALEZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 19, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497547137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2025
Last Update: October 14, 2025
Sole Proprietor: No

Other Physician Assistants in Colton

All Physician Assistants in Colton

Mailing Address

400 N Pepper Ave # 205

Colton, CA 923241801

Phone: 9095801775

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.