Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johan-R Lomeli Gonzalez, PA

Individual provider Physician Assistant · NPI 1184202426

Johan-R Lomeli Gonzalez, PA is a Physician Assistant in Santa Rosa, California. Qualified in 2021, 5 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

525 Doyle Park Dr Ste 102
Santa Rosa, CA 95405-4562
Phone: (707) 387-3922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Van Ness Ave Fl 6, San Francisco, CA 94109-6978 — (415) 600-0528

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA59776 (CA)

Record details

NPI number1184202426
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Santa Rosa