GINA ROSE GASTELUM P.A.C.
NPI 1912946567
Physician Assistant in Fortuna, CA

Q: What is Gina Gastelum's NPI number?

The NPI number for Gina Gastelum is 1912946567. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Gina Gastelum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Gastelum was last updated on November 2, 2021. 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.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

3307 RENNER DR, FORTUNA, CA 95540(707) 725-9832(707) 725-7247 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2021, Feb 15, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Gina Rose Gastelum P.a.c. NPPES

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

GINA ROSE GASTELUM P.A.C. (NPI 1912946567) is an individual physician assistant in Fortuna, California, licensed in California (PA15240) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arcata, and is a graduate of University Of Washington School Of Medicine (1998).

NPPES Registry Identity

NPI1912946567

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameGINA ROSE GASTELUMCredential: P.A.C.

Location Address3307 RENNER DRFortuna, CA 95540-3119

Mailing Address200 W Center Street Promenade Ste 300Anaheim, CA 92805-3960 · (714) 449-4841 · Fax (714) 937-6233

Phone(707) 725-9832

Fax(707) 725-7247

Sole ProprietorYes

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1998

Enumeration DateJune 6, 2006

Last NPPES UpdateNovember 2, 20214 updates tracked since enumeration

NPPES CertifiedNovember 2, 2021

✔ NPI 1912946567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA15240

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3307 RENNER DR, Fortuna, CA 95540

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Secondary Practice Location 1

Location 13800 Janes RdArcata, CA 95521-4742 · Phone (707) 826-8264 · Fax (707) 826-8292

Other Identifiers 1

MedicaidPA15240CA

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

Gina Rose Gastelum P.a.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.

PECOS PAC ID1153370739

PECOS Enrollment IDI20050120001031

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

29 services20 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

27 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services24 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

13 services13 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 5

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

BRANDON EUGENE BIRELEY D.O.

Surgery