MRS. KRISTYN P GONZAGA NP
NPI 1750170411
Nurse Practitioner - Primary Care in Costa Mesa, CA
About Mrs. Kristyn P Gonzaga Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTYN P GONZAGA NP (NPI 1750170411) is an individual primary care provider in Costa Mesa, California, licensed in California (95032936) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
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
Mrs. Kristyn P Gonzaga Np 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 Reassignments
6Medicare enrollment records show Kristyn Gonzaga reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 194 clinicians in this Medicare group
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 103 clinicians in this Medicare group
Los Angeles, CA 90039
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Temecula, CA 92592
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Temecula, CA 92592
- Reassigned Medicare billing, California enrollment
- 6 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 92626 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristyn Gonzaga's NPI number?
The NPI number for Kristyn Gonzaga is 1750170411. It was assigned to this individual provider in the NPPES registry on April 30, 2025.
Where is Kristyn Gonzaga located?
Kristyn Gonzaga practices at 3090 Bristol St Ste 200, Costa Mesa, CA 92626. The listed phone number is (888) 789-9585.
What is Kristyn Gonzaga's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kristyn Gonzaga enrolled in Medicare?
Yes. Kristyn Gonzaga 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 Kristyn Gonzaga's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristyn Gonzaga reassigns Medicare benefits to 6 organizations: Care Partners California Medical PC (Costa Mesa, CA), Careconnectmd Ca PC (Costa Mesa, CA), Gn Medical Associates, Inc. (Costa Mesa, CA), Heartstone Ca Health Provider Inc (Los Angeles, CA), Innovative Wound Solutions Inc (Temecula, CA) and 1 more organization, listed in the Medicare section above. 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 Kristyn 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 Kristyn Gonzaga was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Kristyn P Gonzaga, NP · NPI 1750170411
Primary Care physician in Costa Mesa, California. Individual provider, active in the CMS NPPES registry since April 30, 2025.
## Identity
- **NPI:** 1750170411 (Entity type: Individual)
- **Enumerated:** April 30, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95032936 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3090 BRISTOL ST STE 200, Costa Mesa, CA 92626-3061
- **Phone:** (888) 789-9585 · **Fax:** (562) 803-4500
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Care Partners California Medical PC (NPI 1669260493, Costa Mesa, CA); Careconnectmd Ca PC (NPI 1366063125, Costa Mesa, CA); Gn Medical Associates, Inc. (NPI 1275576522, Costa Mesa, CA); Heartstone Ca Health Provider Inc (NPI 1386529469, Los Angeles, CA); Innovative Wound Solutions Inc (NPI 1194517482, Temecula, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750170411) · Data from the CMS NPPES public registry.