GABRIELA ANDREA JUACHE PA-C NPI 1043830763

NPI Information

NPI: 1043830763
Provider Name: GABRIELA ANDREA JUACHE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: KEN ROTH MD AND ROLF EHLERS MD SAN DIEGO INTERNAL MEDICINE ASSOC

PECOS Registration: Yes

Address:
8765 AERO DR STE 130
SAN DIEGO, CA
ZIP 92123
Phone: (858) 541-0181
Get Directions

Gabriela Andrea Juache, PA-C is a medical physician assistant in San Diego, CA with 3 years of experience. Gabriela Andrea Juache, PA-C NPI is 1043830763. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8765 AERO DR STE 130
SAN DIEGO, CA
ZIP 92123-767
Phone: (858) 541-0181
Fax: (858) 637-9035

The NPI 1043830763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2020 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	59446	CALIFORNIA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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