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CAROLINA GONZALEZ RN
NPI 1780401349
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since September 25, 2024PECOS Enrolled
2520 PENNSYLVANIA AVE, LOS ANGELES, CA 90033(323) 229-3859 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2024, Sep 26, 2024 (2 updates tracked since 2024).

About Carolina Gonzalez Rn NPPES

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

CAROLINA GONZALEZ RN (NPI 1780401349) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95032937) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780401349
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROLINA GONZALEZCredential: RN
Location Address2520 PENNSYLVANIA AVELos Angeles, CA 90033-3516
Mailing Address2520 Pennsylvania AveLos Angeles, CA 90033-3516 · (323) 229-3859
Phone(323) 229-3859
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 25, 2024
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1780401349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95032937
Also ListedRegistered NurseTaxonomy 163W00000X · License 744969 (CA)
2520 PENNSYLVANIA AVE, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Gonzalez Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729559919
PECOS Enrollment IDI20260609001309
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

2

Medicare enrollment records show Carolina Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Overhead Sun
2.2 mi
Internal Medicine
4521 E CESAR E CHAVEZ AVE
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1508677121 (562) 533-7373
Ehab Yacoub MD Inc.
14 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113

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 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Carolina Gonzalez's NPI number?

The NPI number for Carolina Gonzalez is 1780401349. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Carolina Gonzalez located?

Carolina Gonzalez practices at 2520 Pennsylvania Ave, Los Angeles, CA 90033. The listed phone number is (323) 229-3859.

What is Carolina Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carolina Gonzalez enrolled in Medicare?

Yes. Carolina Gonzalez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carolina Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Gonzalez reassigns Medicare benefits to 2 organizations: Overhead Sun (Los Angeles, CA) and Ehab Yacoub MD Inc. (Gardena, 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 Carolina 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 Carolina Gonzalez was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.