MS. GINA GRACE WEAVER PA-C NPI 1912186503

NPI Information

NPI: 1912186503
Provider Name: MS. GINA GRACE WEAVER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: TEAM PHYSICIANS OF NORTHERN CALIFORNIA MEDICAL GROUP INC

PECOS Registration: Yes

Address:
354 SANTA FE DR
ENCINITAS, CA
ZIP 92024
Phone: (760) 230-2252
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MS. Gina Grace Weaver, PA-C is a medical physician assistant in Encinitas, CA with 17 years of experience. MS. Gina Grace Weaver, PA-C NPI is 1912186503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

354 SANTA FE DR
ENCINITAS, CA
ZIP 92024-142
Phone: (760) 230-2252
Fax: (760) 230-2253

The NPI 1912186503 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 10/30/2007 and was last updated on 12/15/2017.

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	PA22073	CALIFORNIA	Yes

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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