Active NPI
Gina Nakhla
- Physician Assistant
- San Ramon, CA
National Provider Identifier
1205596616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60667
- Practice address
- 2626 Paige Way
San Ramon, CA 94582-5918 - Phone
- (925) 961-2460
- NPI assigned
- Dec 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60667 | CA | Primary |
Addresses
Primary practice location
2626 Paige Way
San Ramon, CA 94582-5918
Mailing address
2626 Paige Way
San Ramon, CA 94582-5918
Phone (925) 961-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60667 | CA | MD | Pharmacist |
| PA60667 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1205596616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 PAIGE WAY",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825918",
"telephone_number": "925-961-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 PAIGE WAY",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825918",
"telephone_number": "925-961-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKHLA",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA60667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.