Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Alexis Gonzalez

Individual provider Physician Assistant · NPI 1497547137

Mr. Michael Alexis Gonzalez is a Physician Assistant in Colton, California. Qualified in 2025, 1 year ago. Practices with San Bernardino Medical Orthopaedic Group Inc, a 91-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025

Practice location Address checks out

400 N Pepper Ave # 205
Colton, CA 92324-1801
Phone: (909) 580-1775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67109 (CA)

Record details

NPI number1497547137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice San Bernardino Medical Orthopaedic Group Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colton