Active NPI
Mary Cecilia Gentile, DO
- Family Medicine Physician
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39870
- Practice address
- 27699 Jefferson Ave
# 312
Temecula, CA 92590-2661 - Phone
- (951) 676-4221
- Fax
- (951) 676-0032
- NPI assigned
- Oct 12, 2005
- Last updated
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39870 | CO | Primary |
Addresses
Primary practice location
27699 Jefferson Ave
# 312
Temecula, CA 92590-2661
Mailing address
27699 Jefferson Ave
#312
Temecula, CA 92590
Phone (951) 676-4221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89121228 | Medicaid | CO | |
| 080178582 | Other | TRAVELERS MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6416 | CA | MD | Acupuncturist |
| 39870 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Physicians Network Inc | Current | Accepting new patients | |
| Galen Inpatient Physicians Inc | Current | Accepting new patients | |
| Acute Care Associates of California PC | Family Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients |
Locations
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
41593 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (951) 719-1111
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Wildomar, CA
- NPI 1194588392
Family Medicine
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Internal Medicine Physician
- Temecula, CA
- NPI 1053461178
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
dba Southwest Healthcare - Inland Valley Hospital
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1861480998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27699 JEFFERSON AVE",
"address_2": "#312",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92590",
"telephone_number": "951-676-4221",
"fax_number": "951-676-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27699 JEFFERSON AVE",
"address_2": "# 312",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902661",
"telephone_number": "951-676-4221",
"fax_number": "951-676-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "MARY",
"middle_name": "CECILIA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "39870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89121228",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "080178582",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.