Individual provider Active NPI

Melissa A Gawat

  • Registered Nurse
  • Temecula, CA
National Provider Identifier
1306505680
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN95188893 Issued in CA
Practice address
28999 Old Town Front St
Temecula, CA 92590-5805
Phone
(951) 261-8392
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN95188893 CA Primary

Addresses

Primary practice location

28999 Old Town Front St
Temecula, CA 92590-5805

Mailing address

2364 S 2ND St
El Centro, CA 92243-9642
Phone (760) 332-1468

Other practice location 1

2364 S 2nd St
El Centro, CA 92243-9642
Phone (760) 332-1468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN95188893CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson House El Centro PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1306505680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 S 2ND ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439642",
            "telephone_number": "760-332-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28999 OLD TOWN FRONT ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905805",
            "telephone_number": "951-261-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2364 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922439642",
            "country_code": "US",
            "telephone_number": "760-332-1468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAWAT",
        "first_name": "MELISSA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95188893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.