Patricia Lyn Gaitan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G54922 Issued in CA

Practice address

1637 Ocean Ave
Seal Beach, CA 90740-6548

Phone

(562) 895-1313

NPI assigned

Dec 15, 2008

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pgaitan295956@hisp.ehr.sutterhealth.org
• Direct secure messaging: pgaitan460399@direct.memorialcare.org

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.

• Enloe Medical Center

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  • Chico, CA
  • NPI 1477975613
  Medicare reassignment NPD
• Enloe Medical Center

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386889632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 OCEAN AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406548",
            "telephone_number": "562-895-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 OCEAN AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406548",
            "telephone_number": "562-895-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Marina Dr",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907406024",
            "country_code": "US",
            "telephone_number": "562-895-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITAN",
        "first_name": "PATRICIA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G54922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Frank, DC
• Lauren Franke
• Gary Freedman-Harvey, PH.D.
• Nikki N Frousakis, PH.D.
• Patricia Pei Fukumoto
• Gale Lawrence M.D., Inc.
• Jacqueline Nicole Mariano Gallardo, MD
• Dennise Gallegos, ATC
• Steven E. Gammer, M.D.
• Bernard Georges Gantes, D.D.S., M.S.

• Pediatrics Physician in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.