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

Mr. Michael Alexis Gonzalez

Individual provider Physician Assistant · NPI 1497547137

Mr. Michael Alexis Gonzalez is a Physician Assistant in Colton, California. Qualified in 2025, 1 year ago. Practices with San Bernardino Medical Orthopaedic Group Inc, a 91-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025

Practice location Address checks out

400 N Pepper Ave # 205
Colton, CA 92324-1801
Phone: (909) 580-1775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67109 (CA)

Record details

NPI number1497547137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address400 N Pepper Ave # 205, Colton, CA 92324-1801

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice San Bernardino Medical Orthopaedic Group Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colton