Nicole Viviana Gonzalez, CNP in Wilmington, CA

Nicole Viviana Gonzalez, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Wilmington, California. Her current practice location is 1334 N Avalon Blvd, Wilmington, California. You can reach out to her office (for appointments etc.) via phone at (310) 835-4000.

Nicole Viviana Gonzalez is licensed to practice in California (license number 95017992) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700421294.

Contact Information

	Nicole Viviana Gonzalez, CNP
	1334 N Avalon Blvd, Wilmington, CA 90744-2639
	(310) 835-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Viviana Gonzalez
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1334 N Avalon Blvd, Wilmington, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700421294
Provider Enumeration Date: 11/08/2019
Last Update Date: 06/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3779914023
Enrollment ID: I20200520003494

Medical Identifiers

Medical identifiers for Nicole Viviana Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700421294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95017992 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Viviana Gonzalez allows following entities to bill medicare on her behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Viviana Gonzalez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Viviana Gonzalez, CNP 1334 N Avalon Blvd, Wilmington, CA 90744-2639 Ph: (310) 835-4000	Nicole Viviana Gonzalez, CNP 1334 N Avalon Blvd, Wilmington, CA 90744-2639 Ph: (310) 835-4000

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, CA

Mrs. Carole King Stevenson, RN, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 Figueroa Pl # Tech115, Wilmington, CA 90744 Phone: 310-233-4520
Karen Ma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 E Anaheim St, Wilmington, CA 90744 Phone: 310-522-8700
Mrs. Vanilla P. Brooks, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1009 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-549-5760
Ms. Diana Linda Ortiz-castro, M.S.N. R.N. C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Broad Ave, Wilmington, CA 90744 Phone: 310-518-8800
Linda Joyce Takvorian, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 714 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-522-4200 Fax: 310-878-0230
Fernando Rodriguez Vega, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1716 Ravenna Ave, Wilmington, CA 90744 Phone: 310-469-3753
Antoinette Laura, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1009 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-549-5760

Nicole Viviana Gonzalez, CNP - Medicare Nurse Practitioner in Wilmington, CA