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

Kevin Gonzalez

Individual provider Physician Assistant · NPI 1790432110

Kevin Gonzalez is a Physician Assistant in Palm Springs, California. Qualified in 2022, 4 years ago. Practices with Pacific Dermatology Institute, a 32-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1180 N Indian Canyon Dr Ste E315
Palm Springs, CA 92262-4809
Phone: (760) 832-6277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62412 (CA)

Record details

NPI number1790432110
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 5, 2022
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pacific Dermatology Institute — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Palm Springs