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

Jeremiah Richard Gonzalez, NP

Individual provider Nurse Practitioner · NPI 1861213118

Jeremiah Richard Gonzalez, NP is a Nurse Practitioner in LA Jolla, California. Qualified in 2024, 2 years ago. Practices with Ear Nose and Throat Associates of San Diego a Medical Corp, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone: (858) 299-2984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95030208 (CA)

Record details

NPI number1861213118
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 21, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ear Nose And Throat Associates Of San Diego A Medical Corp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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