SAMELY M GONZALEZ
NPI 1598655110
Nurse Practitioner - Family in Richmond, CA

Q: What is Samely Gonzalez's NPI number?

The NPI number for Samely Gonzalez is 1598655110. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Q: What is Samely Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samely Gonzalez was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 07, 2025PECOS Enrolled

1714 POTRERO AVE, RICHMOND, CA 94804(484) 538-9460 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samely M Gonzalez NPPES

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

SAMELY M GONZALEZ (NPI 1598655110) is an individual family provider in Richmond, California, licensed in California (95033736) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598655110

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMELY M GONZALEZ

Location Address1714 POTRERO AVERichmond, CA 94804-3831

Mailing Address1714 Potrero AveRichmond, CA 94804-3831 · (484) 538-9460

Phone(484) 538-9460

Sole ProprietorNo

Enumeration DateJuly 7, 2025

NPPES CertifiedJuly 6, 2025

✔ NPI 1598655110 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 · 95033736

1714 POTRERO AVE, Richmond, CA 94804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samely M Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94804 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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 Samely Gonzalez's NPI number?

The NPI number for Samely Gonzalez is 1598655110. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Samely Gonzalez located?

Samely Gonzalez practices at 1714 Potrero Ave, Richmond, CA 94804. The listed phone number is (484) 538-9460.

What is Samely Gonzalez's specialty?

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

Is Samely Gonzalez enrolled in Medicare?

Yes. Samely Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samely Gonzalez was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.