GWENDOLYN CHAMPION LSA
NPI 1407241300
Physician Assistant - Surgical in Fresno, TX

Q: What is Gwendolyn Champion's NPI number?

The NPI number for Gwendolyn Champion is 1407241300. It was assigned to this individual provider in the NPPES registry on March 30, 2015. The provider is also known as Gwendolyn Scott Lsa.

Q: What is Gwendolyn Champion's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since March 30, 2015

4026 E TEAL ESTATES CIR, FRESNO, TX 77545(510) 984-8610 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2018, Apr 1, 2016 (2 updates tracked since 2016).

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About Gwendolyn Champion Lsa NPPES

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

GWENDOLYN CHAMPION LSA (NPI 1407241300) is an individual surgical provider in Fresno, Texas, licensed in (SA00547) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1407241300

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameGWENDOLYN CHAMPIONCredential: LSA

Location Address4026 E TEAL ESTATES CIRFresno, TX 77545

Mailing Address4026 E Teal Estates CirFresno, TX 77545-8851 · (510) 984-8610

Phone(510) 984-8610

Sole ProprietorYes

Enumeration DateMarch 30, 2015

Last NPPES UpdateApril 30, 20202 updates tracked since enumeration

NPPES CertifiedApril 30, 2020

✔ NPI 1407241300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed · SA00547

4026 E TEAL ESTATES CIR, Fresno, TX 77545

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Other Names 1

Former Name (1)Gwendolyn Scott Lsa

Other Providers at the Same Location NPPES

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

PHENOMSURGICAL ASSISTING

Specialist/Technologist, Other (Surgical Assistant)

4026 E TEAL ESTATES CIR
FRESNO, TX 77545

Fort Bend County (510) 984-8610

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 Gwendolyn Champion's NPI number?

The NPI number for Gwendolyn Champion is 1407241300. It was assigned to this individual provider in the NPPES registry on March 30, 2015. The provider is also known as Gwendolyn Scott Lsa.

Where is Gwendolyn Champion located?

Gwendolyn Champion practices at 4026 E Teal Estates Cir, Fresno, TX 77545. The listed phone number is (510) 984-8610.

What is Gwendolyn Champion's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Champion was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.