Active NPI
Gaeth Andrew Lovato Jr., P.A.
- Surgical Physician Assistant
- La Quinta, CA
National Provider Identifier
1730280710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA17005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA17005 | Other | CA | CA 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.25 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17005 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
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- Physical Medicine & Rehabilitation Physician
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- NPI 1023449741
-
- Pain Clinic/Center
- Rancho Mirage, CA
- NPI 1154631943
-
- Orthopaedic Surgery Physician
- Palm Desert, CA
- NPI 1558005355
-
- Orthopaedic Surgery Physician
- La Quinta, CA
- NPI 1831364975
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.