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NPI 1790477875

Michael Gonzalez

Nurse Practitioner, Family · Pomona, CA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 12:03 pm EDT

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Michael Gonzalez is a health care provider (Nurse Practitioner, Family) in Pomona, California with National Provider Identifier (NPI) 1790477875. The NPI was issued on May 25, 2023 and the registry record was last updated on Mar 27, 2024. The registry lists a license in California.

Registry record

NPI
1790477875
Type
Individual (NPI-1), sole proprietor
Primary specialty
Nurse Practitioner, Family 363LF0000X
Practice location
2112 S Garey Ave
Pomona, CA 91766-5600
Phone
(909) 464-0520
NPI issued
May 25, 2023
Registry record updated
Mar 27, 2024

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Nurse Practitioner, Family Primary363LF0000XCalifornia95025346

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Family Nurse Practitioner providers in California

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.