Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nataly Mena Gonzales, PA-C

Individual provider Surgical Physician Assistant · NPI 1104446640

Nataly Mena Gonzales, PA-C is a Physician Assistant in Fresno, California. Qualified in 2020, 6 years ago. Practices with Saint Agnes Medical Foundation, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 443-2682
Fax: (559) 443-2681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1510 E Herndon Ave Ste 110, Fresno, CA 93720-3333 — (559) 450-6742

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 58725 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 58725 (CA)

Record details

NPI number1104446640
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 24, 2020
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Saint Agnes Medical Foundation — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fresno