Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Luis B Salas Gorgoni, NP

Individual provider Nurse Practitioner · NPI 1750805669

Luis B Salas Gorgoni, NP is a Nurse Practitioner in San Bernardino, California. Qualified in 2017, 9 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone: (909) 883-8611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1851 N Riverside Ave, Rialto, CA 92376 — (909) 421-2700

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 782313 (CA)

Record details

NPI number1750805669
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 1, 2017
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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