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

Mayette Baylon Gonzales, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1154006310

Mayette Baylon Gonzales, NURSEPRACTITIONER is a Nurse Practitioner in Riverside, California. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023

Practice location Address checks out

3988 Merrill Ave
Riverside, CA 92506-2214
Phone: (909) 304-3344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 N Waterman Ave, San Bernardino, CA 92404-5115 — (909) 883-8611

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95025044 (CA)

Record details

NPI number1154006310
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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