Philip Alan Gosvener, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA22792 Issued in CA

Practice address

591 McCray St Ste 101
Hollister, CA 95023-2224

Phone

(831) 634-4444

NPI assigned

Jan 27, 2006

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1508837675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 MCCRAY STREET, SUITE 101",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-634-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST STE 101",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-634-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSVENER",
        "first_name": "PHILIP",
        "middle_name": "ALAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yazmin Gomez, MD
• Doral Renee Gonzales, FNP
• Gloria Gonzales
• Alejandro Gonzalez
• Cielo Mar Gonzalez, ACSW, PPSC-CWA
• April Govea
• Graft and Blossom Therapy - a Clinical Social Worker Corporation
• Marie Claudette Decastro Grageda, MD
• Gregory Scott Greer, RAS,CSC
• Guadalupe Grimaldo

• Medical Physician Assistant in Hollister, CA
• Providers in Hollister, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.