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

Nicolette Gonzalez, PA-C

Individual provider Physician Assistant · NPI 1265007819

Nicolette Gonzalez, PA-C is a Physician Assistant in San Diego, California. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2023, 3 years ago. Practices with Somagen Healthcare Inc, a 54-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
CA
In the registry since
2021
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

3900 5th Ave
San Diego, CA 92103-3121
Phone: (858) 554-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4723 W Main St Ste H, Guadalupe, CA 93434-1787 — (805) 343-5577

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA63835 (CA)

Record details

NPI number1265007819
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2023 (3 years in practice)
Group practice Somagen Healthcare Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

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