Individual provider Active NPI

Irene W Gaita, FNP

  • Family Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1174284202
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018893 Issued in CA
Practice address
420 W Acacia St Ste 2
Stockton, CA 95203-2441
Phone
(209) 665-4151
Fax
(209) 665-4452
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 756020 CA
Family Nurse Practitioner 363LF0000X 95018893 CA Primary

Addresses

Primary practice location

420 W Acacia St Ste 2
Stockton, CA 95203-2441

Mailing address

1341 Historical Plaza Way
Manteca, CA 95336-5064
Phone (209) 665-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803004085 CA Practitioner - Nurse Practitioner 7416318605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 W Acacia St
Suite 2
Stockton, CA 95203-2441
Phone (209) 665-4151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetreat Nursing Corporation Family CurrentSince Jun 1, 2023 Accepting new patients
California Urgent Care Center Professional Corporation PastSince Jan 1, 2022 Accepting new patients
Dignity Health PastSince Jun 18, 2023 Accepting new patients
Mercy West Urgent Care Inc PastSince Jan 1, 2022 Accepting new patients

Locations

1341 Historical Plaza Way
Manteca, CA 95336
Phone (209) 665-4151

420 W Acacia St
Ste 2
Stockton, CA 95203
Phone (209) 461-3196

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1174284202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 HISTORICAL PLAZA WAY",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365064",
            "telephone_number": "209-665-4151",
            "fax_number": "209-665-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-665-4151",
            "fax_number": "209-665-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITA",
        "first_name": "IRENE",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "756020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.