Mia Gatti

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

51400 Issued in CA

Practice address

360 San Miguel Dr Ste 501
Newport Beach, CA 92660-7831

Phone

(949) 720-1170

Fax

(949) 720-1172

NPI assigned

May 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• J Robert West, M.D., Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment NPD
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556
  Medicare reassignment
• Tony N. Nakhla, D.O., Inc.

  • Dermatology Physician
  • Santa Ana, CA
  • NPI 1730411794
  Medicare reassignment
• Walter K Nahm MD PHD Inc

  • MOHS-Micrographic Surgery Physician
  • San Diego, CA
  • NPI 1720110968
  Medicare reassignment
• Cabrillo Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
  • NPI 1154554160
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1275944654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "STE 501",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607831",
            "telephone_number": "949-720-1170",
            "fax_number": "949-720-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 501",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607831",
            "telephone_number": "949-720-1170",
            "fax_number": "949-720-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTI",
        "first_name": "MIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Alliance of Newport, a Medical Partnership
• Gastrointestinal & Liver Diseases of Newport, a Medical Corporation
• J Paul Gatdula, PMHNP-BC
• Gatsinaris Chiropractic Inc
• Vasilis John Gatsinaris, D.C.
• Steven Hayden Gausewitz, M.D.
• Bao-Hieu Pauline Gauvreau
• Bianca Gaxiola
• David Gazzaniga, MD
• Kim Edward Gebrosky, CHIROPRACTOR

• Physician Assistant in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.

Verify at the official NPI Registry.