Individual provider · Type 1 NPI

Nicolette Gonzalez, PA-C

Physician Assistant · San Diego, CA

NPI number 1265007819 Active

Practice location

3900 5th Ave
San Diego, CA 92103-3121

Call (858) 554-1212 Map

Mailing address

310 A St Apt 2102
San Diego, CA 92101-4323

Other practice locations

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

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA63835 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265007819

Nicolette Gonzalez, PA-C's National Provider Identifier is 1265007819, issued on May 26, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 24, 2026.