MS. ELAINE MARIE GACKLE NP
NPI 1093789000
Nurse Practitioner - Family in San Bernardino, CA

Active since February 15, 2006
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405(909) 213-0001(909) 386-1882 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Elaine Marie Gackle Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELAINE MARIE GACKLE NP (NPI 1093789000) is an individual family provider in San Bernardino, California, licensed in California (NP376074) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1093789000
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ELAINE MARIE GACKLECredential: NP
Location Address742 W HIGHLAND AVESan Bernardino, CA 92405-3839
Mailing Address23021 Jensen CtGrand Terrace, CA 92313-5579 · (909) 783-7933 · Fax (909) 783-7933
Fax(909) 386-1882
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateOctober 3, 2011
NPI 1093789000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP376074
742 W HIGHLAND AVE, San Bernardino, CA 92405

Other Identifiers 2

OtherRNP376074CA · License
Medicare UPINR80442CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Physician Assistant (Medical)
742 W HIGHLAND AVE
SAN BERNRDINO, CA 92405
Family Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Psychiatry & Neurology (Psychiatry)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Pediatrics
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaine Gackle's NPI number?

The NPI number for Elaine Gackle is 1093789000. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Elaine Gackle located?

Elaine Gackle practices at 742 W Highland Ave, San Bernardino, CA 92405. The listed phone number is (909) 213-0001.

What is Elaine Gackle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elaine Gackle was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.