GERARDO O. PASCUAL (NPI# 1003097189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003097189 |
| Entity Type | Individual |
| Full Name | GERARDO O. PASCUAL |
| Credential | MD |
| Practice Address |
626 Boyer Ln La Puente CA 91744-6131 |
| Practice Telephone | 6269647174 |
| Practice Fax Number | 6268391578 |
| Mailing Telephone | 6269647174 |
| Mailing Fax Number | 6268391578 |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2007-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A35566 | CA | Ambulatory Health Care Facilities |
| Street Address |
626 BOYER LN |
| City | LA PUENTE |
| State | CA |
| Zip Code | 91744-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396824132 | G.e. Pediatric Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 626 Boyer Ln, La Puente, CA 91744-6131 | 2006-11-03 |
| 1124203575 | G.e. Pediatric Care | Intermediate Care Facility, Mentally Retarded | 626 Boyer Ln, La Puente, CA 91744-6131 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073158051 | Juan Gomez Jr. | Case Manager/Care Coordinator | 106 S. Seventh Avenue, La Puente, CA 91744 | 2019-11-13 |
| 1821630898 | Richard B Vasquez Jr. | Technician | 14602 Hartsville St., La Puente, CA 91744 | 2019-10-11 |
| 1639720196 | Yolanda Salazar | Technician | 14744 Flanner Street, La Puente, CA 91744 | 2019-09-26 |
| 1154898245 | Karen Elvera Garza | Case Manager/Care Coordinator | 160 S.seventh Ave, La Puente, CA 91744 | 2018-10-27 |
| 1649709916 | Briana Michelle Ramos | Student in an Organized Health Care Education/Training Program | 1550 N Hacienda Blvd., La Puente, CA 91744 | 2017-06-08 |
| 1952857237 | Autumn Abadesco | Dentist | 525 N Azusa Ave #112, La Puente, CA 91744 | 2016-08-28 |
| 1649724790 | Michelle Han | Acupuncturist | 129 Homestead St, La Puente, CA 91744 | 2016-08-06 |
| 1750756375 | Vanessa Molina | Marriage & Family Therapist | 160 S. Seventh Ave., La Puente, CA 91744 | 2015-12-08 |
| 1649668294 | Jennifer Mendoza Leyran | Physical Therapist | 15959 Main Street, La Puente, CA 91744 | 2015-01-06 |
| 1073949863 | Brenda Ann Tabone | Nurse Practitioner | 160 S. Seventh Avenue, La Puente, CA 91744 | 2013-09-25 |
| Find all providers in zip 91744 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598833469 | Citrus Valley Family Medical Clinic, Inc. | Clinic/Center | 1400 N Hacienda Blvd, La Puente, CA 91744-1187 | 2006-12-01 |
| 1003301573 | Shams A. Mousavilar,md,inc. | Clinic/Center | 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744-1143 | 2018-06-27 |
| 1053692434 | Best Health Providers, Inc | Clinic/Center | 1840 N Hacienda Blvd Ste 3, La Puente, CA 91744-1143 | 2011-08-30 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.