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MARIO ALBERTO GONZALEZ MSN/FNP
NPI 1740792795
Nurse Practitioner - Family in San Jacinto, CA

Active since October 31, 2017PECOS EnrolledAccepts Medicare Assignment
651 N STATE ST STE 5, SAN JACINTO, CA 92583(951) 487-8506 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2021, Oct 31, 2017 (2 updates tracked since 2017).

About Mario Alberto Gonzalez Msn/fnp NPPES

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

MARIO ALBERTO GONZALEZ MSN/FNP (NPI 1740792795) is an individual family provider in San Jacinto, California, licensed in California (95007892) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740792795
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARIO ALBERTO GONZALEZCredential: MSN/FNP
Location Address651 N STATE ST STE 5San Jacinto, CA 92583-6574
Mailing Address27373 Fawn Ridge CtCorona, CA 92883-8413 · (562) 278-4727
Phone(951) 487-8506
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 31, 2017
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1740792795 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 · 95007892
651 N STATE ST STE 5, San Jacinto, CA 92583
Open in Google Maps ↗

Secondary Practice Location 1

Location 111201 Barton StLoma Linda, CA 92357-6574 · Phone (951) 601-4406

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

Mario Alberto Gonzalez Msn/fnp 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 ID6002154416
PECOS Enrollment IDI20190211000928
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 Reassignment

Medicare enrollment records show Mario Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dap Health, Inc.
1.0 mi
Federally Qualified Health Center (FQHC)
651 N STATE ST
San Jacinto, CA 92583
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
NPI 1598180101 (760) 767-5051

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 92583 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 6

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

CAROLINE FERRER DALE MD
Family Medicine
651 N STATE ST STE 5
SAN JACINTO, CA 92583
Riverside County (951) 292-5741
FRANCES LEUNG MD, MPH
Student in an Organized Health Care Education/Training Program
651 N STATE ST STE 5
SAN JACINTO, CA 92583
Riverside County (951) 487-8506
ZENZIWE MATSHE MD
Family Medicine
651 N STATE ST STE 5
SAN JACINTO, CA 92583
Riverside County (951) 292-5741
DR. ANNIE P LE MD, MPH
Student in an Organized Health Care Education/Training Program
651 N STATE ST STE 5
SAN JACINTO, CA 92583
Riverside County (951) 292-5741
ARLENE GUADALUPE LOPEZ-MARTINEZ
Community Health Worker
651 N STATE ST STE 5
SAN JACINTO, CA 92583
Riverside County (951) 487-8506
TIEN VO MD
Family Medicine
651 N STATE ST STE 5
SAN JACINTO, CA 92583
Riverside County (951) 292-5741

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 Mario Gonzalez's NPI number?

The NPI number for Mario Gonzalez is 1740792795. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Where is Mario Gonzalez located?

Mario Gonzalez practices at 651 N State St Ste 5, San Jacinto, CA 92583. The listed phone number is (951) 487-8506.

What is Mario Gonzalez's specialty?

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

Is Mario Gonzalez enrolled in Medicare?

Yes. Mario 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 organization bills Medicare for Mario Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Gonzalez reassigns Medicare benefits to Dap Health, Inc. (San Jacinto, 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 Mario 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 Mario Gonzalez was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.