David L Gingrich in San Luis Obispo - Physician Assistant
David L Gingrich - NPI 1134252653
David L Gingrich is a Physician Assistant in San Luis Obispo, California. David L Gingrich practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David L Gingrich is 1134252653. The last update date is 2011-08-26.
David L Gingrich's current location address is 47 Santa Rosa St, San Luis Obispo, California. You can contact this provider via phone number 8055429596 and fax number 8055420845. The mailing address for David L Gingrich is 47 Santa Rosa St, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David L Gingrich |
|---|---|
| Address | 47 Santa Rosa St, San Luis Obispo, California |
| Phone Number | 8055429596 |
| Fax Number | 8055420845 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1134252653 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2011-08-26 |
Provider Mailing Address Detail
| Address | 47 Santa Rosa St |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934055816 |
| Phone Number | 8055429596 |
| Fax Number | 8055420845 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17191 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA17191 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to David L Gingrich by the Centers for Medicare & Medicaid Services?
The David L Gingrich has been issued the NPI (National Provider Identifier) 1134252653. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of David L Gingrich?
The David L Gingrich is physically situated at 47 Santa Rosa St, in the city of San Luis Obispo, state of CA, with the postal code 934055816.
What is David L Gingrich's specialized field of practice, and what is the corresponding taxonomy classification code?
The David L Gingrich's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the David L Gingrich receive the assignment of its 1134252653 from the Centers for Medicare & Medicaid Services?
The David L Gingrich was issued its 1134252653 by the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date was the information pertaining to David L Gingrich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David L Gingrich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-08-26.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC