Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Gandarilla, PA

Individual provider Physician Assistant · NPI 1164909040

Alexis Gandarilla, PA is a Physician Assistant in Brentwood, California. Works from 2 locations. Licensed in California and North Carolina.

Licensed in
CA, NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

191 Sand Creek Rd Ste 120
Brentwood, CA 94513-2260
Phone: (415) 362-5443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3885 24th St, San Francisco, CA 94114-3840 — (415) 529-4522

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60748 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-10385 (NC)

Record details

NPI number1164909040
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 24, 2018
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

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