TRISNA GOZALI NP-C
NPI 1326423922
Nurse Practitioner - Family in Upland, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Trisna Gozali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1770515280 (California)
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
UPLAND, CA 91786
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.
Which organization bills Medicare for Trisna Gozali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Trisna Gozali reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). The 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 Trisna Gozali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Trisna Gozali was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Trisna Gozali, NP-C · NPI 1326423922
Family physician in Upland, California. Individual provider, active in the CMS NPPES registry since July 23, 2015.
## Identity
- **NPI:** 1326423922 (Entity type: Individual)
- **Enumerated:** July 23, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95002784 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1113 ALTA AVE, SUITE 220, Upland, CA 91786-2800
- **Phone:** (909) 985-1908
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1396287082, Chino Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 3, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1326423922) · Data from the CMS NPPES public registry.