MRS. MARY GAUSEPOHL (NPI# 1841362837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841362837 |
| Entity Type | Individual |
| Full Name | MRS. MARY GAUSEPOHL |
| Credential | PA-C |
| Practice Address |
27555 Ynez Rd Ste 350 Temecula CA 92591-4688 |
| Mailing Address |
Po Box 1150 Fallbrook CA 92088-1150 |
| Practice Telephone | 9515066041 |
| Practice Fax Number | 9515066042 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27555 YNEZ RD STE 350 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-4688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700046 | Direct Medical Ventures Inc. | Internal Medicine | 27555 Ynez Rd Ste 350, Temecula, CA 92591-4688 | 2020-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437581774 | Ricardo Rivas | Physician Assistant | 27699 Jefferson Ave Ste 312, Temecula, CA 92590-2697 | 2013-08-08 |
| 1942552914 | Sakshi Monga Patel | Physician Assistant | 31720 S Temecula Pkwy, Ste 200, Temecula, CA 92592 | 2012-10-15 |
| 1962697821 | Daniel D. Velasquez | Physician Assistant | 28991 Old Town Front St Ste 104, Temecula, CA 92590-2858 | 2007-09-12 |
| 1699968826 | Roger Torrance Bellamy | Physician Assistant | 31720 S. Temeula Parkway. Ste. 203, Temecula, CA 92592 | 2007-08-21 |
| 1750425690 | Carrie King | Physician Assistant | 27699 Jefferson Ave Ste 201, Temecula, CA 92590-2697 | 2007-02-16 |
| 1831198704 | Thomas Brett Davis | Physician Assistant | 31720 Temecula Pkwy Ste 200, Temecula, CA 92592-5895 | 2005-07-21 |
| 1326599192 | Mariah Brooke Horvath | Physician Assistant | 41715 Winchester Rd, Suite #101, Temecula, CA 92590-4808 | 2016-10-17 |
| 1801256920 | Lindsey Alkema | Physician Assistant | 41789 Nicole Ln, B3, Temecula, CA 92591-3871 | 2016-03-02 |
| 1922471192 | Krista Russo | Physician Assistant | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2015-11-09 |
| 1629447602 | Lindsey Adele Mcatee | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2015-09-19 |
| Find all providers in TEMECULA | ||||
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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.