JACQUELYN GONZALES (NP) – Nurse Practitioner, NPI 1629372149
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for JACQUELYN GONZALES (NP)
720 KINLEY ST
LA HABRA, CA 906313524
Phone: (626) 221-2906
Type: Mailing
2020 SANTA MONICA BLVD STE 600
SANTA MONICA, CA 904042131
Phone: (626) 221-2906
Type: Location
PO BOX 512185
LOS ANGELES, CA 900510185
Phone:
Type: Mailing
1000 FIVEPOINT
IRVINE, CA 926182377
Phone: (949) 671-4673
Fax: (949) 671-4329
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $718.
Total Amount is formed as General ($718) + Research ($0) + Ownership ($0) = $718.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($426).
Total Amount
$718
General + Research + Ownership
Payments
10
Total payment records
General Amount
$718
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $426 |
| AstraZeneca Pharmaceuticals LP | $125 |
| ABBVIE INC. | $65 |
| Regeneron Healthcare Solutions, Inc. | $40 |
| GENZYME CORPORATION | $36 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211101002131 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 34 | $0 |
Insurance plans in this area (ZIP 90631)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Hospice/Palliative Care | CA | |
| Nurse Practitioner | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Clinical Social Worker | CA |
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