GARY R. CHISWICK JR. P.A.
NPI 1174964001
Physician Assistant - Medical in San Marcos, CA
About Gary R. Chiswick Jr. P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY R. CHISWICK JR. P.A. (NPI 1174964001) is an individual medical provider in San Marcos, California, licensed in California (PA22667) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gary R. Chiswick Jr. P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN MARCOS, CA 92069
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 Gary Chiswick's NPI number?
The NPI number for Gary Chiswick is 1174964001. It was assigned to this individual provider in the NPPES registry on July 8, 2013.
Where is Gary Chiswick located?
Gary Chiswick practices at 150 Valpreda Rd, San Marcos, CA 92069. The listed phone number is (760) 736-6780.
What is Gary Chiswick's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Gary Chiswick enrolled in Medicare?
Yes. Gary Chiswick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gary Chiswick was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Gary R. Chiswick Jr., P.A. · NPI 1174964001
Medical physician in San Marcos, California. Individual provider, active in the CMS NPPES registry since July 8, 2013.
## Identity
- **NPI:** 1174964001 (Entity type: Individual)
- **Enumerated:** July 8, 2013
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA22667 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 VALPREDA RD, San Marcos, CA 92069-2973
- **Phone:** (760) 736-6780
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174964001) · Data from the CMS NPPES public registry.