STEVE GICHURU PA-C NPI 1003002288

Physician Assistant (Medical) in West Covina, CA

Individual Male Physician Assistant Medical

About STEVE GICHURU

Steve Gichuru is a provider established in West Covina, California and his medical specialization is physician assistant. The NPI number of Steve Gichuru is 1003002288 and was assigned on September 2007. The practitioner's primary taxonomy code is 363AM0700X with license number PA15965 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI

1003002288

Provider Name STEVE GICHURU PA-C
Provider Location Address409 E MERCED AVE STE A WEST COVINA, CA 91790
Provider Mailing Address1576 OUTRIGGER WEST COVINA, CA 91790
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-20-2007
Last Update Date09-20-2007

Primary Taxonomy

Taxonomy Code363AM0700X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationMedical
License No.PA15965
License StateCA

Business Address

STEVE GICHURU PA-C
409 E MERCED AVE STE A
WEST COVINA, CA
ZIP 91790
Phone: (625) 931-0901

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Mailing Address

STEVE GICHURU PA-C
1576 OUTRIGGER
WEST COVINA, CA
ZIP 91790
Phone: (562) 414-4166

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.