| 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 | Nurse Practitioner |
| Experience | 5 Years |
| Location | 215 W Janss Rd, Thousand Oaks, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Memorial Hospital San Buenaventura | Ventura, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Physicians Of California Medical Group Inc | 8224945084 | 65 |
| Community Memorial Health System | 9537155676 | 167 |
| 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 |