Eva Marie Gentile, MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A42926 Issued in CA

Legal business name

EVA MARIE GENTILE, MD INC

Practice address

1300 Avenida Vista Hermosa
100
San Clemente, CA 92673-6315

Phone

(949) 218-3001

Fax

(949) 218-8051

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Eva Marie Gentile, MDNPI 1811030117

Title

Ceo

Phone

(949) 218-3001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Marie Gentile, MD

  • Family Medicine Physician
  • San Clemente, CA
  • NPI 1811030117
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1386903110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA",
            "address_2": "100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736315",
            "telephone_number": "949-218-3001",
            "fax_number": "949-218-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA",
            "address_2": "100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736315",
            "telephone_number": "949-218-3001",
            "fax_number": "949-218-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA MARIE GENTILE, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-218-3001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A42926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Joy Escobar, OTR
• Ghazal Eslamy, DC
• Lisa Espinoza, SLPA
• Adrianna Michelle Esquivel, RBT
• Mark-Anthony Jordan Estrada, RBT
• Evening Star Counseling
• John Stewart Evered, DDS
• Evolutions ABA Inc
• Bruna Falci Arana
• Family and Holistic Health

• General Practice Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.