Gabriel R Aguilar, PA-C
Individual provider Active NPI Physician Assistant · San Pablo, CA
NPI 1396089397 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1396089397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2023 Vale Rd
#107
San Pablo, CA 94806-3834 - Phone
- (510) 215-9092
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northbay Physicians Surgery Center, LLC
Northbay Health Medical Foundation
Practice addresses (Care Compare)
1000 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 624-7000
101 Main St
Winters, CA 95694-1930
Phone (707) 646-5500
1020 Nut Tree Rd
Vacaville, CA 95687-4100
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600
416 Napa Junction Rd
American Canyon, CA 94503-1281
Phone (707) 646-5500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140804001306 | CA | Practitioner - Physician Assistant | 2062639784 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Healthcare Group | Current |
Accepting new patients | |
| Lifelong Medical Care | Current |
Accepting new patients | |
| Cep America - California | Current |
Accepting new patients | |
| Northbay Health Medical Foundation | Current |
Accepting new patients | |
| Northbay Healthcare Group | Current |
Accepting new patients | |
| Carbon Health Primary Care of California PC | Past |
Accepting new patients |
Locations
416 Napa Junction Rd
#140
American Canyon, CA 94503
2540 East St
Concord, CA 94520
Phone (925) 674-2228
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300
2023 Vale Rd
Ste 107
San Pablo, CA 94806
Phone (510) 215-9092
1679 E Monte Vista Ave
Vacaville, CA 95688
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
101 Main St
Winters, CA 95694
Phone (530) 795-4123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2023 Vale Rd
#107
San Pablo, CA 94806-3834
Mailing address
2023 Vale Road
#107
San Pablo, CA 94806
Phone (510) 215-9092
Other providers in San Pablo, CA
- Yvonne Stacy Adams Shepard
- Khosrow Afsari
- Susan M Afsari
- Robert Agee
- Frances Aguilar
- Ahcs San Pablo, LLC
- Ahcs San Pablo, LLC
- Ashley Loren Ahola
- Maria F Alatorre
- Odete Alexander
All providers in San Pablo, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.