Individual provider Active NPI

Sara Calderon Gonzalez, NP

  • Family Nurse Practitioner
  • Hemet, CA
National Provider Identifier
1174988174
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008543 Issued in CA
Practice address
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone
(951) 652-2811
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 805325 CA
Family Nurse Practitioner 363LF0000X 95008543 CA Primary

Addresses

Primary practice location

1117 E Devonshire Ave
Hemet, CA 92543-3083

Mailing address

34375 Woodshire Dr
Winchester, CA 92596-8302
Phone (714) 861-9066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022003391 CA Practitioner - Nurse Practitioner 9335471440 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Karan Singh Professional CorpGroup PAC ID 6800235458, 30 clinicians
Singh MD a Professional MedicalGroup PAC ID 8426584988, 18 clinicians

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

600 N Highland Springs Ave
Banning, CA 92220-3046
Phone (833) 443-6287

820 E Mountain View St
Barstow, CA 92311-3004
Phone (858) 863-7382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
805325CAMDRegistered Nurse
95008543CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Apex Emergency Medical Group, Inc. CurrentSince Aug 10, 2019 Accepting new patients
MD Karan Singh Professional Corp CurrentSince Jan 18, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 31, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Dec 1, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 31, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Dec 1, 2021 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Singh MD a Professional Medical CurrentSince Dec 1, 2024 Accepting new patients
Premier Emergency Physicians of California Medical Group PC Past Accepting new patients
Rainbow Basin Emergency Physicians, a Medical Corporation Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • Direct secure messaging: sgonzalez23039@epiclp.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1174988174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34375 WOODSHIRE DR",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968302",
            "telephone_number": "714-861-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433083",
            "telephone_number": "951-652-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SARA",
        "middle_name": "CALDERON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "805325",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.