Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Clifford Fontanilla Gonzales, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1558458042

Mr. Clifford Fontanilla Gonzales, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Winston Salem, North Carolina. Qualified in 2006, 20 years ago. Practices with Medical Park Hospital LLC, a 109-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-3069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2163 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 136101 (NC)

Record details

NPI number1558458042
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedOctober 6, 2006
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Medical Park Hospital Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Medical Park Hospital LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 109 clinicians in the practice; 12 are shown here.

Other providers in Winston Salem