| Kierstyn Gates, FNP-C | |
|
215 W Janss Rd, Thousand Oaks, CA 91360-1847 | |
| (805) 497-2727 | |
| Not Available |
| Full Name | Kierstyn Gates |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 215 W Janss Rd, Thousand Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255067856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95020755 (California) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | NP95020755 (California) | Primary |
| Entity Name | Community Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668 |
| Entity Name | Los Robles Emergency Physicians Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | West Coast Pulmonary Physicians A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558464065 PECOS PAC ID: 1951309061 Enrollment ID: O20061128000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Kierstyn Gates, FNP-C 215 W Janss Rd, Thousand Oaks, CA 91360-1847 Ph: () - | Kierstyn Gates, FNP-C 215 W Janss Rd, Thousand Oaks, CA 91360-1847 Ph: (805) 497-2727 |