GASTON JEREMIAH PHYSICIAN ASSISTANT NPI 1518310333

NPI Information

  • NPI: 1518310333
  • Provider Name: GASTON JEREMIAH, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1310 W STEWART DR STE 503
    ORANGE, CA
    ZIP 92868
  • Phone: (714) 997-2224

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NPI Details

Gaston Jeremiah, PHYSICIAN ASSISTANT is a surgical physician assistant in Orange, CA with 10 years of experience. Gaston Jeremiah, PHYSICIAN ASSISTANT NPI is 1518310333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1310 W STEWART DR STE 503
ORANGE, CA
ZIP 92868-856
Phone: (714) 997-2224
Fax: (714) 997-1187

The NPI 1518310333 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 7/16/2016 and was last updated on 6/21/2024.

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
1363A00000XPhysician Assistant3746CONNECTICUTNo
2363AS0400XPhysician AssistantSurgical3746CONNECTICUTNo
3363AS0400XPhysician AssistantSurgical55591CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
155591OTHERCALIFORNIAPA
21131297OTHERCALIFORNIANPPES

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: 11/21/2025

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