ABRAHAM ISACC GONZALEZ REGISTERED NURSE
NPI 1609385756
Nurse Anesthetist, Certified Registered in San Bernardino, CA

Active since September 20, 2017Accepts Medicare Assignment
95/100
CMS Quality Rating
255 W 17TH ST, SAN BERNARDINO, CA 92405(951) 488-8649 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, May 18, 2018, Sep 20, 2017 (3 updates tracked since 2017).

About Abraham Isacc Gonzalez Registered Nurse NPPES

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

ABRAHAM ISACC GONZALEZ REGISTERED NURSE (NPI 1609385756) is an individual nurse anesthetist, certified registered in San Bernardino, California, licensed in California (95000872) and active in the NPI registry since September 2017. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1609385756
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameABRAHAM ISACC GONZALEZCredential: REGISTERED NURSE
Location Address255 W 17TH STSan Bernardino, CA 92405
Mailing Address255 W 17th StSan Bernardino, CA 92405-4618 · (951) 488-8649
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1609385756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95000872
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 825669 (CA)
255 W 17TH ST, San Bernardino, CA 92405

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

Abraham Isacc Gonzalez Registered Nurse 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 ID9335401892
PECOS Enrollment IDI20180320003481

Medicare Billing Reassignments

3

Medicare enrollment records show Abraham Gonzalez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 270 clinicians in this Medicare group
Clinic/Center
215 CAJON ST
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4234 RIVERWALK PKWY STE 230
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 8 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 92405 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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 Abraham Gonzalez's NPI number?

The NPI number for Abraham Gonzalez is 1609385756. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Abraham Gonzalez located?

Abraham Gonzalez practices at 255 W 17th St, San Bernardino, CA 92405. The listed phone number is (951) 488-8649.

What is Abraham Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Abraham Gonzalez enrolled in Medicare?

Yes. Abraham Gonzalez 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 organizations bill Medicare for Abraham Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abraham Gonzalez reassigns Medicare benefits to 3 organizations: Palm Springs Anesthesia Services, PC (San Bernardino, CA), Inland Empire Ketamine Institute Inc (Redlands, CA) and Repose Anesthesia PC (Riverside, CA). Each 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 Abraham Gonzalez'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 Abraham Gonzalez was last updated on July 21, 2022. 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.