Trisna Gozali, NP-C
Nurse Practitioner, Family in Upland, CA. Individual provider (NPI-1).
NPI number1326423922
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1326423922
- Entity type
- Individual (NPI-1)
- Name
- Trisna Gozali
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2015
- Certification date
- Apr 13, 2021
- Last updated
- Dec 3, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95002784 | CA | Yes |
Practice location
1113 Alta AveSuite 220
Upland, CA 91786-2800
Phone 909-985-1908
Mailing address
1113 Alta AveSuite 220
Upland, CA 91786-2800
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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