Active NPI
Kristyn P Gonzaga, NP
- Primary Care Nurse Practitioner
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95032936
- Practice address
- 3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061 - Phone
- (888) 789-9585
- Fax
- (562) 803-4500
- NPI assigned
- Apr 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95032936 | CA | Primary |
Addresses
Primary practice location
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Mailing address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585
44045 Margarita Rd
Suite 101
Temecula, CA 92592-2729
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95032936 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd Ca PC | Current | Accepting new patients | |
| Innovative Wound Solutions Inc | Current | Accepting new patients | |
| Care Partners California Medical PC | Current | Accepting new patients | |
| Wound Guard Inc | Current | Accepting new patients | |
| Woundguard | Current | Accepting new patients | |
| GN Medical Associates, Inc. | Current | Accepting new patients |
Locations
495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777
3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
44045 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (951) 302-1122
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
- Health Service Clinic/Center
- Temecula, CA
- NPI 1194517482
-
- Geriatric Medicine (Family Medicine) Physician
- Costa Mesa, CA
- NPI 1669260493
-
- Wound Care Registered Nurse
- Temecula, CA
- NPI 1417767419
-
- Medical Specialty Clinic/Center
- Los Angeles, CA
- NPI 1386529469
-
- Wound Care Registered Nurse
- Plantation, FL
- NPI 1871328310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1750170411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061",
"telephone_number": "888-789-9585",
"fax_number": "562-803-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061",
"telephone_number": "888-789-9585",
"fax_number": "562-803-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZAGA",
"first_name": "KRISTYN",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95032936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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; Order and Referring.
- 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.