NPIMap

Individual provider Active NPI

Gabriella Rose Gomez Hawkins, PA-C

  • Physician Assistant
  • Angels Camp, CA
National Provider Identifier
1134960552
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67465 Issued in CA
Practice address
590 Stanislaus Ave
Angels Camp, CA 95222
Phone
(209) 736-0813
NPI assigned
Jun 3, 2024
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67465 CA Primary

Addresses

Primary practice location

590 Stanislaus Ave
Angels Camp, CA 95222

Mailing address

940 Sandalwood Dr
Murphys, CA 95247-9556

Other names 1

  • Gabriella Rose Gomez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260302003351 CA Practitioner - Physician Assistant 9537641360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

768 Mountain Ranch Rd
San Andreas, CA 95249-9710

940 Sandalwood Dr
Murphys, CA 95247-9556

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67465CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Mark Twain Medical Center PastSince Jun 14, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1134960552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SANDALWOOD DR",
            "city": "MURPHYS",
            "state": "CA",
            "postal_code": "952479556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 STANISLAUS AVE",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "95222",
            "telephone_number": "209-736-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "GABRIELLA",
        "middle_name": "ROSE GOMEZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLA",
            "last_name": "GOMEZ",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Angels Camp, CA

Sources for this page

Verify at the official NPI Registry.