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

Gryska I Gonzalez, PA-C

Individual provider Physician Assistant · NPI 1942843107

Gryska I Gonzalez, PA-C is a Physician Assistant in Fountain Valley, California. Qualified in 2019, 7 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
7
Licensed in
CA, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045
Phone: (714) 241-7000
Fax: (714) 241-7003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 16th Ave E, Seattle, WA 98112-5211 — (206) 326-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61139014 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA57278 (CA)

Record details

NPI number1942843107
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 21, 2019
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fountain Valley