Maria Elena Gastelum

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

690535 Issued in CA

Practice address

81709 Dr Carreon Blvd Ste B1
Indio, CA 92201-5510

Phone

(760) 347-0000

Fax

(760) 347-0020

NPI assigned

Mar 8, 2022

Last updated

Mar 8, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1801543988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44151 CAROB CT",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922012921",
            "telephone_number": "760-574-8046",
            "fax_number": "760-347-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE B1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015510",
            "telephone_number": "760-347-0000",
            "fax_number": "760-347-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTELUM",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "690535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosetta Garza-Waggoner, LVN
• Abigail Alexandra Garza
• Kathleen Gaschk, MFTI
• Diana Gascon, MD
• Brenda Gastelum Espinoza
• Lynn Denise Gates
• Stephanie Gaytan, RADT
• Daniel Jay Gendron, APRN-NP
• Patricia Ann Genel
• Gentle Draw Phlebotomy

• Licensed Vocational Nurse in Indio, CA
• Providers in Indio, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.