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GINA LAURA WACHUTKA PA-C NPI 1902253974


NPI Information

NPI: 1902253974
Provider Name: GINA LAURA WACHUTKA, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PERMANENTE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
275 W MACARTHUR BLVD
SUITE 17
OAKLAND, CA
ZIP 94611
Phone: (510) 752-1155
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Gina Laura Wachutka, PA-C is a surgical physician assistant in Oakland, CA with 9 years of experience. Gina Laura Wachutka, PA-C NPI is 1902253974. 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:

275 W MACARTHUR BLVD
SUITE 17
OAKLAND, CA
ZIP 94611-641
Phone: (510) 752-1155

The NPI 1902253974 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 5/19/2016 and was last updated on 1/11/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical53269CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.