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MR. JESSE GONZAGA NP
NPI 1649348921
Nurse Practitioner - Acute Care in Oakland, CA

Active since December 02, 2006PECOS Enrolled
350 HAWTHORNE AVE, OAKLAND, CA 94609(510) 869-8660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jesse Gonzaga Np NPPES

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

MR. JESSE GONZAGA NP (NPI 1649348921) is an individual acute care provider in Oakland, California, licensed in California (11763) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649348921
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JESSE GONZAGACredential: NP
Location Address350 HAWTHORNE AVEOakland, CA 94609-3108
Mailing Address3012 Summit St Fl 2Oakland, CA 94609-3480 · (510) 869-8660
Phone(510) 869-8660
Sole ProprietorYes
Enumeration DateDecember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649348921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 11763
350 HAWTHORNE AVE, Oakland, CA 94609
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP17840CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jesse Gonzaga Np 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jesse Gonzaga reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
9.7 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555
Nabil K Abudayeh MD Professional Corporation
13 mi
Cardiovascular Disease
20700 LAKE CHABOT RD, SUITE 107
Castro Valley, CA 94546
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Nabil K Abudayeh M D Professional Corporation
  • 3 clinicians in this Medicare group
NPI 1558558023 (510) 886-6878
Majestic Palliative Care LLC
59 mi
General Practice
16360 MONTEREY ST STE 140
Morgan Hill, CA 95037
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1942075437 (408) 779-0100
Snf Wound Care
338 mi
Internal Medicine
11270 EXPOSITION BLVD FL 1, BOX: 641519
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1114393311 (833) 379-6863
Best Wound Care, LLC
Family
47000 WARM SPRINGS BLVD STE 1, #234
Fremont, CA 94539
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1104615806 (408) 472-7284

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 94609 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.

Other Providers at the Same Location NPPES 20

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

JEEVEN BRAH M.D.
Hospitalist
350 HAWTHORNE AVE, ROOM 2346
OAKLAND, CA 94609
Alameda County (510) 869-6883
BARBARA CHAN PT
Physical Therapist
350 HAWTHORNE AVE
OAKLAND, CA 94609
Alameda County (510) 655-4000
DR. EMILY MEILAN SZE M.D.
Emergency Medicine
350 HAWTHORNE AVE
OAKLAND, CA 94609
Alameda County (510) 869-2500
GRACE SHEBA RANI MANCHALA MD
Student in an Organized Health Care Education/Training Program
350 HAWTHORNE AVE
OAKLAND, CA 94609
Alameda County (510) 655-4000
EDGAR KARANJAH
Student in an Organized Health Care Education/Training Program
350 HAWTHORNE AVE
OAKLAND, CA 94609
Alameda County (510) 869-8751
NUPOOR GAJJAR MD
Pathology (Cytopathology)
350 HAWTHORNE AVE
OAKLAND, CA 94609
Alameda County (510) 869-6567
DR. ALLISON GANNON POLLOCK M.D.
Physical Medicine & Rehabilitation
350 HAWTHORNE AVE
OAKLAND, CA 94609
Alameda County (510) 847-7771
KERRY CANTON
Occupational Therapist
350 HAWTHORNE AVE
OAKLAND, CA 94609
Alameda County (774) 219-9575

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 Jesse Gonzaga's NPI number?

The NPI number for Jesse Gonzaga is 1649348921. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Where is Jesse Gonzaga located?

Jesse Gonzaga practices at 350 Hawthorne Ave, Oakland, CA 94609. The listed phone number is (510) 869-8660.

What is Jesse Gonzaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jesse Gonzaga enrolled in Medicare?

Yes. Jesse Gonzaga is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesse Gonzaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Gonzaga reassigns Medicare benefits to 5 organizations: Permanente Medical Group Inc (Richmond, CA), Nabil K Abudayeh MD Professional Corporation (Castro Valley, CA), Majestic Palliative Care LLC (Morgan Hill, CA), Snf Wound Care (Los Angeles, CA) and Best Wound Care, LLC (Fremont, 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 Jesse Gonzaga'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 Jesse Gonzaga was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.