Individual provider Active NPI

Gaeth Andrew Lovato Jr., P.A.

  • Surgical Physician Assistant
  • La Quinta, CA
National Provider Identifier
1730280710
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA17005 Issued in CA
Practice address
47600 Via Montessa
La Quinta, CA 92253-2134
Phone
(760) 413-7258
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA17005 CA
Surgical Physician Assistant 363AS0400X 17005 CA
Surgical Physician Assistant 363AS0400X PA17005 CA Primary

Addresses

Primary practice location

47600 Via Montessa
La Quinta, CA 92253-2134

Mailing address

47600 Via Montessa
La Quinta, CA 92253-2134
Phone (760) 413-7258

Other identifiers 1

IdentifierTypeStateIssuer
PA17005OtherCACA LICENSE #

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040225001243 CA Practitioner - Physician Assistant 9931095908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17005CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob a Spencer DO Inc Past Accepting new patients
Star Orthopaedics, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1730280710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47600 VIA MONTESSA",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532134",
            "telephone_number": "760-413-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47600 VIA MONTESSA",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532134",
            "telephone_number": "760-413-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVATO",
        "first_name": "GAETH",
        "middle_name": "ANDREW",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17005",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "17005",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA17005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE #",
            "identifier": "PA17005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.