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INLAND EMPIRE KETAMINE INSTITUTE INC
NPI 1164387338
Clinic/Center in Redlands, CA

Active since December 19, 2025
215 CAJON ST, REDLANDS, CA 92373(909) 414-7616 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Inland Empire Ketamine Institute Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INLAND EMPIRE KETAMINE INSTITUTE INC (NPI 1164387338) is a healthcare organization registered as a clinic/center in Redlands, California and active in the NPI registry since December 2025. The organization lists Abraham Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1164387338
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINLAND EMPIRE KETAMINE INSTITUTE INC
Location Address215 CAJON STRedlands, CA 92373-5201
Mailing Address215 Cajon StRedlands, CA 92373-5201
Phone(909) 414-7616
Organization SubpartNo
Authorized OfficialAbraham GonzalezOwner · (909) 530-5190
Enumeration DateDecember 19, 2025
NPPES CertifiedDecember 19, 2025
✔ NPI 1164387338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
215 CAJON ST, Redlands, CA 92373
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inland Empire Ketamine Institute Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Inland Empire Ketamine Institute Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Moses Olson, M.D.
Anesthesiology
NPI 1518347434
2101 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8711
✔ PECOS✔ Accepts Medicare7.9 mi
Abraham Gonzalez, REGISTERED NURSE
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609385756
255 W 17TH ST
San Bernardino, CA 92405
(951) 488-8649
✔ Accepts Medicare8.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inland Empire Ketamine Institute Inc's NPI number?

The NPI number for Inland Empire Ketamine Institute Inc is 1164387338. It was assigned to this organization in the NPPES registry on December 19, 2025.

Where is Inland Empire Ketamine Institute Inc located?

Inland Empire Ketamine Institute Inc is located at 215 Cajon St, Redlands, CA 92373. The listed phone number is (909) 414-7616.

What is Inland Empire Ketamine Institute Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Inland Empire Ketamine Institute Inc enrolled in Medicare?

Yes. Inland Empire Ketamine Institute Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inland Empire Ketamine Institute Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Inland Empire Ketamine Institute Inc, in Anesthesiology and Certified Registered Nurse Anesthetist (CRNA). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Inland Empire Ketamine Institute Inc was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.