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ALEXIS GANDARILLA PA
NPI 1164909040
Physician Assistant in Brentwood, CA

Active since July 24, 2018PECOS Enrolled
191 SAND CREEK RD STE 120, BRENTWOOD, CA 94513(415) 362-5443 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2026, May 1, 2023, Apr 6, 2022 and 15 more (18 updates tracked since 2018).

About Alexis Gandarilla Pa NPPES

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

ALEXIS GANDARILLA PA (NPI 1164909040) is an individual physician assistant in Brentwood, California, licensed in California (60748) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164909040
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXIS GANDARILLACredential: PA
Location Address191 SAND CREEK RD STE 120Brentwood, CA 94513-2260
Mailing Address3885 24th StSan Francisco, CA 94114-3840
Phone(415) 362-5443
Sole ProprietorNo
Enumeration DateJuly 24, 2018
Last NPPES UpdateMay 15, 202618 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1164909040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 60748✔ Licensed in NC · 0010-10385
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
191 SAND CREEK RD STE 120, Brentwood, CA 94513
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Gandarilla Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alexis Gandarilla's NPI number?

The NPI number for Alexis Gandarilla is 1164909040. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Alexis Gandarilla located?

Alexis Gandarilla practices at 191 Sand Creek Rd Ste 120, Brentwood, CA 94513. The listed phone number is (415) 362-5443.

What is Alexis Gandarilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexis Gandarilla enrolled in Medicare?

Yes. Alexis Gandarilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Gandarilla was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.