Manlio Ernesto Gamero-Rivera, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

533020 Basilone Road
Camp Pendleton, CA 92055

Phone

(760) 725-7410

NPI assigned

Nov 18, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1437816030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EL DORADO ST APT A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066162",
            "telephone_number": "626-429-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533020 BASILONE ROAD",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMERO-RIVERA",
        "first_name": "MANLIO",
        "middle_name": "ERNESTO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-18",
        "last_updated": "2023-06-08",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Tobias Galicinao
• Patrick J Gallaher, IDC
• Joe Gallardo III, IDC
• Susan Marie Gallardo, LCSW
• Michael Andrew Galuska, MD
• Christopher Daniel Garcia, INDEPENDENT DUTY COR
• John C Garn, SFIDC
• Jason Michael Garton, D.O.
• Teresa Marie Garza, CRNA
• Sharlene Gee, O.D.

• Physician Assistant in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.