NICOLE JACQUELINE GAJADHAR PA-C
NPI 1457405524
Physician Assistant in San Diego, CA
About Nicole Jacqueline Gajadhar Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE JACQUELINE GAJADHAR PA-C (NPI 1457405524) is an individual physician assistant in San Diego, California, licensed in California (65712) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Carthage Area Hospital, Inc, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Jacqueline Gajadhar Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carthage Area Hospital, Inc
Critical Access Hospitals · Carthage, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 DIEGO, CA 92104
SAN DIEGO, CA 92104
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 Nicole Gajadhar's NPI number?
The NPI number for Nicole Gajadhar is 1457405524. It was assigned to this individual provider in the NPPES registry on January 23, 2007.
Where is Nicole Gajadhar located?
Nicole Gajadhar practices at 3544 30th St, San Diego, CA 92104. The listed phone number is (619) 515-2424.
What is Nicole Gajadhar's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Nicole Gajadhar enrolled in Medicare?
Yes. Nicole Gajadhar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Nicole Gajadhar affiliated with any hospitals?
According to CMS data, Nicole Gajadhar is affiliated with Carthage Area Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Nicole Gajadhar was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nicole Jacqueline Gajadhar, PA-C · NPI 1457405524
Physician Assistant physician in San Diego, California. Individual provider, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1457405524 (Entity type: Individual)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 65712 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3544 30TH ST, San Diego, CA 92104-4120
- **Phone:** (619) 515-2424
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457405524) · Data from the CMS NPPES public registry.