ANDRES GONZALEZ (M.D.) – Family Medicine Physician, NPI 1669892147

ANDRES GONZALEZ (M.D.) is a healthcare provider. based in Montclair, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A160421 (CA). The NPI Number for ANDRES GONZALEZ (M.D.) is 1669892147

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDRES GONZALEZ (M.D.)
NPI
1669892147
Phone
(909) 626-1205
Address
9635 MONTE VISTA AVE STE 205
Enumeration Date
23 April 2014
Last Update Date
13 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9099852811
Graduation Year
2014 (12 years ago)
PAC ID
1355693060
Group Practice PAC ID
5294135612
Professional Enrollment ID
I20190213002037
Address ID
CA917864920UP999XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for ANDRES GONZALEZ (M.D.)

  • 9635 MONTE VISTA AVE STE 205

    MONTCLAIR, CA 917632235

    Phone: (909) 626-1205

    Fax: (909) 625-1977

    Type: Mailing

  • 9525 MONTE VISTA AVE STE 105

    MONTCLAIR, CA 917632231

    Phone: (909) 626-1205

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,035.

Total Amount is formed as General ($1,035) + Research ($0) + Ownership ($0) = $1,035.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: UCB, Inc. ($318).

Total Amount

$1,035

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,035

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-02-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190213002037IFamily PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes441108$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes110104$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7122$0
99238Hospital discharge day management, 30 minutes or less6462$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3028$0
View full utilization report →

Insurance plans in this area (ZIP 91763)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294135612View full group profile
NameSpecialtyState
Internal MedicineCA
Pulmonary Disease, Internal MedicineCA
Internal Medicine, Sleep MedicineCA
Internal MedicineAL
Family PracticeCA
Internal Medicine, HospitalistCA
Internal MedicineCA
Hospitalist, Internal MedicineIL
Internal MedicineCA
Family Practice, HospitalistCA

Reviews

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Frequently asked questions

How is ANDRES GONZALEZ (M.D.) identified in CMS data?
CMS-hosted NPPES data lists ANDRES GONZALEZ (M.D.) with NPI 1669892147.
Is ANDRES GONZALEZ (M.D.) listed as active for patients and plans?
The listing shows ANDRES GONZALEZ (M.D.) as active in the NPI system.
What is ANDRES GONZALEZ (M.D.)'s specialty?
The listing groups ANDRES GONZALEZ (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ANDRES GONZALEZ (M.D.)?
ANDRES GONZALEZ (M.D.)'s geographic hint is Montclair, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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