Individual provider Active NPI

Eric Andrew Gonzales, CRNA

  • Certified Registered Nurse Anesthetist
  • Travis Afb, CA
National Provider Identifier
1376780015
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
629479 Issued in TX
Practice address
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone
(707) 423-3583
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001527 CA
Certified Registered Nurse Anesthetist 367500000X 10057252 OR
Certified Registered Nurse Anesthetist 367500000X 629479 TX Primary

Addresses

Primary practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809
Phone (707) 423-7113

Other practice location 1

600 Nut Tree Rd Ste 220
Vacaville, CA 95687-4656
Phone (707) 633-2503

Other practice location 2

9479 N Fort Washington Rd
Fresno, CA 93730-5939
Phone (559) 494-4030

Other practice location 3

900 Sunset Dr
LA Grande, OR 97850-1362
Phone (541) 963-8421

Other practice location 4

1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-5299

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628001420 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769536804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 578-1211

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
629479TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc CurrentSince Sep 3, 2024 Accepting new patients
Green Anesthesia Nurse Anesthetist, Certified Registered CurrentSince May 4, 2024 Accepting new patients
Star Anesthesia, PA. Past Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700

223 Clinton Rd
Ste 204
Jackson, CA 95642
Phone (209) 223-5938

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1238 West St
Redding, CA 96001
Phone (530) 241-5499

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

4 Medical Plaza Dr
Ste 210
Roseville, CA 95661
Phone (916) 773-8780

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

600 Nut Tree Rd
Ste 220
Vacaville, CA 95687
Phone (707) 392-2622

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1376780015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Nut Tree Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956874656",
            "country_code": "US",
            "telephone_number": "707-633-2503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9479 N Fort Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937305939",
            "country_code": "US",
            "telephone_number": "559-494-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978501362",
            "country_code": "US",
            "telephone_number": "541-963-8421",
            "fax_number": "541-963-1476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 S Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965318",
            "country_code": "US",
            "telephone_number": "925-295-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001527",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "10057252",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "629479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1425 S. Main St",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Travis Afb, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.