TRISNA GOZALI NP-C
NPI 1326423922
Nurse Practitioner - Family in Upland, CA

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment
1113 ALTA AVE, SUITE 220, UPLAND, CA 91786(909) 985-1908 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2021, Apr 13, 2021, Nov 30, 2015 (3 updates tracked since 2015).

About Trisna Gozali Np-c NPPES

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

TRISNA GOZALI NP-C (NPI 1326423922) is an individual family provider in Upland, California, licensed in California (95002784) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326423922
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRISNA GOZALICredential: NP-C
Location Address1113 ALTA AVE, SUITE 220Upland, CA 91786-2800
Mailing Address1113 Alta Ave, Suite 220Upland, CA 91786-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 23, 2015
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
NPI 1326423922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95002784
1113 ALTA AVE, Upland, CA 91786

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Trisna Gozali Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315229119
PECOS Enrollment IDI20170130002734
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1113 ALTA AVE, SUITE 110
UPLAND, CA 91786
Durable Medical Equipment & Medical Supplies
1113 ALTA AVE, SUITE 101
UPLAND, CA 91786
Nurse Practitioner (Family)
1113 ALTA AVE, SUITE 220
UPLAND, CA 91786
Nurse Practitioner (Family)
1113 ALTA AVE, SUITE #110
UPLAND, CA 91786
Family Medicine
1113 ALTA AVE, SUITE 102
UPLAND, CA 91786
Nurse Practitioner (Family)
1113 ALTA AVE, SUITE 220
UPLAND, CA 91786
Dentist
1113 ALTA AVE, 205
UPLAND, CA 91786
Nurse Practitioner
1113 ALTA AVE, SUITE 110
UPLAND, CA 91786

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 Trisna Gozali's NPI number?

The NPI number for Trisna Gozali is 1326423922. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Trisna Gozali located?

Trisna Gozali practices at 1113 Alta Ave Suite 220, Upland, CA 91786. The listed phone number is (909) 985-1908.

What is Trisna Gozali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Trisna Gozali enrolled in Medicare?

Yes. Trisna Gozali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Trisna Gozali was last updated on December 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.