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GINA LAURA WACHUTKA PA-C
NPI 1902253974
Physician Assistant - Surgical in Oakland, CA

Active since May 19, 2016PECOS Enrolled
275 W MACARTHUR BLVD, SUITE 17, OAKLAND, CA 94611(510) 752-1155 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2022, Oct 7, 2021, May 19, 2016 (3 updates tracked since 2016).

About Gina Laura Wachutka Pa-c NPPES

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

GINA LAURA WACHUTKA PA-C (NPI 1902253974) is an individual surgical provider in Oakland, California, licensed in California (53269) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902253974
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameGINA LAURA WACHUTKACredential: PA-C
Location Address275 W MACARTHUR BLVD, SUITE 17Oakland, CA 94611-5641
Mailing Address275 W Macarthur Blvd, Suite 17Oakland, CA 94611-5641 · (510) 752-1155
Phone(510) 752-1155
Sole ProprietorNo
Enumeration DateMay 19, 2016
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
✔ NPI 1902253974 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 in CA · 53269
275 W MACARTHUR BLVD, Oakland, CA 94611
Open in Google Maps ↗

Other Names 1

Other Name (5)Gina Laura Robinson Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Laura Wachutka Pa-c 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 20

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

DR. ANNA C. MORGAN MD
Specialist
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
DR. TRANG H. LA MD
Radiology (Radiation Oncology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
DR. AMIN MATIN M.D., M.P.H.
Radiology (Diagnostic Radiology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (925) 295-5758
SUCHETA KORWAR MD
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
MR. MATTHEW GABRIELSON D.P.T.
Physical Therapist (Orthopedic)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6221
MALORIE HACKER MD
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
RENEE L. PERRY DO
Obstetrics & Gynecology
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
HERPRIT KAUR MAHAL MD
Hospitalist
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000

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 Gina Wachutka's NPI number?

The NPI number for Gina Wachutka is 1902253974. It was assigned to this individual provider in the NPPES registry on May 19, 2016. The provider is also known as Gina Laura Robinson Pa-C.

Where is Gina Wachutka located?

Gina Wachutka practices at 275 W Macarthur Blvd Suite 17, Oakland, CA 94611. The listed phone number is (510) 752-1155.

What is Gina Wachutka's specialty?

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

Is Gina Wachutka enrolled in Medicare?

Yes. Gina Wachutka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gina Wachutka was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.