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GEORGANN GERVASI-LYTTKENS PA-C, R.D.C.S.,R.V.T
NPI 1295952034
Physician Assistant - Medical in Fremont, CA

Active since April 20, 2007PECOS Enrolled
2333 MOWRY AVE, SUITE #220, FREMONT, CA 94538(510) 792-2012(510) 792-7986 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgann Gervasi-lyttkens Pa-c, R.d.c.s.,r.v.t NPPES

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

GEORGANN GERVASI-LYTTKENS PA-C, R.D.C.S.,R.V.T (NPI 1295952034) is an individual medical provider in Fremont, California and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295952034
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGEORGANN GERVASI-LYTTKENSCredential: PA-C, R.D.C.S.,R.V.T
Location Address2333 MOWRY AVE, SUITE #220Fremont, CA 94538-1625
Mailing Address2333 Mowry Ave, Suite #220Fremont, CA 94538-1625 · (510) 792-2012 · Fax (510) 792-7986
Phone(510) 792-2012
Fax(510) 792-7986
Sole ProprietorNo
Enumeration DateApril 20, 2007
Last NPPES UpdateMay 16, 2016
✔ NPI 1295952034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2333 MOWRY AVE, Fremont, CA 94538
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Other Names 1

Other Name (5)Georgann Gervasi Pa-c, R.d.c.s.,r.v.t

Other Identifiers 1

OtherPA13704CA · Physician Assist. License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgann Gervasi-lyttkens Pa-c, R.d.c.s.,r.v.t 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.

Other Providers at the Same Location NPPES 17

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

DR. SCOTT KRAMER M.D.
Obstetrics & Gynecology (Gynecology)
2333 MOWRY AVE, SUITE 201
FREMONT, CA 94538
Alameda County (510) 796-0510
MICHELLE HTUN M.D
Internal Medicine
2333 MOWRY AVE, SUITE # 300
FREMONT, CA 94538
Alameda County (510) 796-0222
FRANK PETER HOCHMAN M.D.
Family Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Alameda County (510) 797-2939
DR. PADMAVATHI KUDARAVALLI MD
Internal Medicine
2333 MOWRY AVE, STE 300
FREMONT, CA 94538
Alameda County (510) 284-4100
DR. ASHIT JAIN M.D.
Internal Medicine (Cardiovascular Disease)
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Alameda County (510) 796-0222
CALIFORNIA CARDIOVASCULAR
Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Alameda County (510) 796-0222
SIMIN SIDDIQ M.D.
Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Alameda County (510) 796-0222
DR. EDWARD JOHN MEYER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2333 MOWRY AVE, STE 300
FREMONT, CA 94538
Alameda County (530) 899-9112

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 Georgann Gervasi-lyttkens's NPI number?

The NPI number for Georgann Gervasi-lyttkens is 1295952034. It was assigned to this individual provider in the NPPES registry on April 20, 2007. The provider is also known as Georgann Gervasi Pa-C, R.D.C.S.,r.V.T.

Where is Georgann Gervasi-lyttkens located?

Georgann Gervasi-lyttkens practices at 2333 Mowry Ave Suite #220, Fremont, CA 94538. The listed phone number is (510) 792-2012.

What is Georgann Gervasi-lyttkens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Georgann Gervasi-lyttkens enrolled in Medicare?

Yes. Georgann Gervasi-lyttkens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Georgann Gervasi-lyttkens was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.