Individual provider Active NPI

Patricia Christine Gonzalez, CRNA

  • Certified Registered Nurse Anesthetist
  • San Ramon, CA
National Provider Identifier
1386849776
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000360 Issued in CA
Practice address
5801 Norris Canyon Rd
Ste 230
San Ramon, CA 94583-5440
Phone
(925) 275-9910
Fax
(925) 275-9823
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP3254742 FL
Certified Registered Nurse Anesthetist 367500000X 95000360 CA Primary

Addresses

Primary practice location

5801 Norris Canyon Rd
Ste 230
San Ramon, CA 94583-5440

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1000

Other identifiers 1

IdentifierTypeStateIssuer
308542200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427001640 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072600816 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95000360CAMDCertified Registered Nurse Anesthetist
ARNP3254742FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Empire Anesthesia Inc CurrentSince Feb 15, 2016 Accepting new patients
Peace River Anesthesiology Associates PA Past Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 Accepting new patients

Locations

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

2340 Montpelier Dr
San Jose, CA 95116
Phone (408) 515-2428

5801 Norris Canyon Rd
Ste 230
San Ramon, CA 94583
Phone (925) 275-9910

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

Organizations & group practices 4

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1386849776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NORRIS CANYON RD",
            "address_2": "STE 230",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835440",
            "telephone_number": "925-275-9910",
            "fax_number": "925-275-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PATRICIA",
        "middle_name": "CHRISTINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3254742",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308542200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.