LUIS B SALAS GORGONI NP
NPI 1750805669
Nurse Practitioner in San Bernardino, CA

Q: What is Luis Salas Gorgoni's NPI number?

The NPI number for Luis Salas Gorgoni is 1750805669. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Q: What is Luis Salas Gorgoni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 01, 2017PECOS EnrolledAccepts Medicare Assignment

1700 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 883-8611 Get Directions Write a Review

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

Record update history: Jan 8, 2026, Sep 7, 2018, Aug 1, 2017 (3 updates tracked since 2017).

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About Luis B Salas Gorgoni Np NPPES

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

LUIS B SALAS GORGONI NP (NPI 1750805669) is an individual nurse practitioner in San Bernardino, California, licensed in California (782313) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rialto, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750805669

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameLUIS B SALAS GORGONICredential: NP

Location Address1700 N WATERMAN AVESan Bernardino, CA 92404-5115

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203

Phone(909) 883-8611

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 1, 2017

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1750805669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 782313

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1700 N WATERMAN AVE, San Bernardino, CA 92404

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Secondary Practice Location 1

Location 11851 N Riverside AveRialto, CA 92376 · Phone (909) 421-2700

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

Luis B Salas Gorgoni 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.

PECOS PAC ID5890046031

PECOS Enrollment IDI20180926003194

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

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

Beaver Medical Group P C

7.9 mi

Family Medicine

2 WEST FERN AVENUE
Redlands, CA 92373

Reassigned Medicare billing, California enrollment
635 clinicians in this Medicare group

NPI 1649503319 (909) 793-3311

Pinnacle Medical Group, Inc

8.9 mi

Family Medicine

8110 MANGO AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
149 clinicians in this Medicare group

NPI 1376876912 (909) 427-1303

Healthcare Partners Affiliates Medical Group

42 mi

Addiction Medicine

14591 NEWPORT AVE
Tustin, CA 92780

Reassigned Medicare billing, California enrollment
2,052 clinicians in this Medicare group

NPI 1891981502 (714) 442-4864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

142 services118 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

110 services29 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

68 services35 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

65 services11 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

39 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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 20

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

DR. HAI NGOC DAO M.D.

Internal Medicine