Maricelle Lopez Gamad, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002958 Issued in CA

Practice address

1130 Coffee Rd Ste 10
Modesto, CA 95355-4228

Phone

(209) 522-9054

Fax

(209) 550-5898

NPI assigned

Aug 28, 2015

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aspen Family Medical Group of Modesto, Inc.Group PAC ID 4183615248, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Global Healthcare Services, LLC Home health agency, Modesto, CA, CCN 059210

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Aspen Family Medical Group of Modesto, Inc.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1467533737
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Global Health Care Services LLC

  • Home Health Agency
  • Modesto, CA
  • NPI 1366572141
  Care Compare affiliation

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1619344348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COFFEE RD STE 10",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554228",
            "telephone_number": "559-441-3252",
            "fax_number": "209-550-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COFFEE RD STE 10",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554228",
            "telephone_number": "209-522-9054",
            "fax_number": "209-550-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMAD",
        "first_name": "MARICELLE",
        "middle_name": "LOPEZ",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Galvan
• Victoria Galvan
• Yesenia Mejia Galvan
• Juan Antonio Galvez-Buccollini Abanto, M.D.
• Fiel Donquila Gamad, FNP-C, PMHNP-BC
• Mariam Abdallah Gamal
• Marlen Gamas
• Jenica Megan Yala Gamatero
• Violeta Gamboa
• Jose Gamez

• Family Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.