Individual provider Active NPI

Jose Robert K Gaticales, APN

  • Family Nurse Practitioner
  • Daly City, CA
National Provider Identifier
1982948295
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95029525 Issued in CA
Practice address
325 Gellert Blvd
Daly City, CA 94015-2613
Phone
(650) 270-2394
NPI assigned
Nov 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001451 NV
Primary Care Nurse Practitioner 363LP2300X APN001451 NV
Family Nurse Practitioner 363LF0000X NP95029525 CA Primary
Infectious Disease Physician 207RI0200X APN001451 NV
Family Nurse Practitioner 363LF0000X AP61332499 WA

Addresses

Primary practice location

325 Gellert Blvd
Daly City, CA 94015-2613

Mailing address

1375 Blossom Hill Rd Ste 49
San Jose, CA 95118-3806
Phone (408) 645-7073

Other practice location 1

1375 Blossom Hill Rd Ste 49
San Jose, CA 95118-3806
Phone (408) 645-7073

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNV

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
I20251030001459 CA Practitioner - Nurse Practitioner 9830343607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 The Embarcadero
San Francisco, CA 94143-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95029525CAMDFamily Nurse Practitioner
AP61332499WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Action Urgent Care Inc CurrentSince Apr 1, 2025 Accepting new patients
UCSF Health Medical Foundation CurrentSince Oct 16, 2025 Accepting new patients
Impact Health Biometric Testing, Inc. PastSince Mar 1, 2024 Accepting new patients
Valley Primary Care Center LLC PastSince Nov 28, 2021 Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

325 Gellert Blvd
Daly City, CA 94015
Phone (650) 270-2394

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

1375 Blossom Hill Rd
Ste 49
San Jose, CA 95118
Phone (408) 440-8335

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1982948295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 BLOSSOM HILL RD STE 49",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183806",
            "telephone_number": "408-645-7073",
            "fax_number": "669-500-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GELLERT BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152613",
            "telephone_number": "650-270-2394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 Blossom Hill Rd Ste 49",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951183806",
            "country_code": "US",
            "telephone_number": "408-645-7073",
            "fax_number": "669-500-7491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATICALES",
        "first_name": "JOSE ROBERT",
        "middle_name": "K",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001451",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APN001451",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95029525",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "APN001451",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61332499",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.