Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Darrell Wayne Gonzales, MD

Individual provider Dermatology Physician · NPI 1417960188

Darrell Wayne Gonzales, MD is a Dermatology in LA Jolla, California. Graduated from Perelman School of Med at the University of Pennsylvania in 2001, 25 years ago. Practices with Coastal Medical and Cosmetic Dermatology Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9850 Genesee Ave Ste 500
LA Jolla, CA 92037-1224
Phone: (858) 657-0267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A88738 (CA)

Record details

NPI number1417960188
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESMay 13, 2009
Mailing address9850 Genesee Ave, Suite 500, La Jolla, CA 92037-1224

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2001 (25 years in practice)
Group practice Coastal Medical And Cosmetic Dermatology Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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