GERALD ABASTILLAS (NPI# 1386189777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386189777 |
| Entity Type | Individual |
| Full Name | GERALD ABASTILLAS |
| Credential | AGPCNP |
| Practice Address |
483 W Seed Farm Road Sacaton AZ 85147 |
| Mailing Address |
P.o. Box 38 483 W. Seed Farm Road Sacaton AZ 85147-0038 |
| Practice Telephone | 6025281200 |
| Mailing Telephone | 6025281200 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP9608 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
483 W SEED FARM ROAD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1588130918 | John L Duffy | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-10-24 |
| 1124508668 | Scott Wesley Stover | Physical Therapist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-08-15 |
| 1265924906 | Monica Isabel Torres | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-05-30 |
| 1699278515 | Ami Tamakuwala | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-03-16 |
| 1932406055 | Kristine Marie Wells | Pharmacist | 483 W Seed Farm Road, Sacaton, AZ 85247 | 2011-02-25 |
| 1902103559 | Julie Sue Tomes | Pharmacist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2011-02-17 |
| 1316264856 | Juli Marge Haws | Dietitian, Registered | 483 W Seed Farm Road, Sacaton, AZ 85147-0038 | 2010-04-23 |
| 1679751218 | Kevin Joseph Pollins | Counselor | 483 W Seed Farm Road, New Beginnings Building, Sacaton, AZ 85247-0038 | 2008-02-06 |
| 1932288495 | Marius Nistor | Internal Medicine | 483 W Seed Farm Road, Sacaton, AZ 85147-0038 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| 1518580158 | Charlie Ginn | Counselor | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2020-05-18 |
| Find all providers in zip 85147 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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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.