Individual provider · Type 1 NPI

Taylor Gonzales

Medical Physician Assistant · Sacramento, CA

NPI number 1750122073 Active

Practice location

2570 48th St
Sacramento, CA 95817-1541

Mailing address

8012 Luka Way
Elk Grove, CA 95757-5026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1750122073

Taylor Gonzales's National Provider Identifier is 1750122073, issued on Jun 3, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sacramento, CA. The record was last updated on Sep 24, 2026.