Gary Vaughn Pascua, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44351 Issued in CA

Practice address

McAs Miramar
Dental Clinic
San Diego, CA 92145

Phone

(858) 577-1825

NPI assigned

Nov 10, 2008

Last updated

Nov 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gary.pascua.p1@direct.castle.nextgenshare.com

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.

• Afamilyfriend Teledentistry

  • Dental Clinic/Center
  • Encinitas, CA
  • NPI 1134837420
  NPD Authorized official
• Afamilyfriend Teledentistry

  • Health Service Clinic/Center
  • Richmond, CA
  • NPI 1417685041
  Authorized official Same address or phone

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1346494986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 HERMES AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241606",
            "telephone_number": "760-436-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCAS MIRAMAR",
            "address_2": "DENTAL CLINIC",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92145",
            "telephone_number": "858-577-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUA",
        "first_name": "GARY",
        "middle_name": "VAUGHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Paschall
• Elisa Yacoob Pasche, NP-C
• Clayton Pascik
• Benito Nikolas Pascua
• Christine Joy Agapito Pascua, PHARM.D
• Katrina Elane Pascua, BSN, RN
• Shelby Ann Pascua, PHARM D
• Christy N Pascual-Smith, PSY.D.
• Brandon Matthew Pascual, PT, DPT
• Edna Oconer Pascual, LVN

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.