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

Devin Lichtenwalter

Individual provider Physician Assistant · NPI 1235844028

Devin Lichtenwalter is a Physician Assistant in Tustin, California. Qualified in 2023, 3 years ago. Practices with Lamia L Gabal MD Inc, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

18302 Irvine Blvd Ste 200
Tustin, CA 92780-3464
Phone: (949) 825-7650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63947 (CA)

Record details

NPI number1235844028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address18302 Irvine Blvd Ste 200, Tustin, CA 92780-3464

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lamia L Gabal Md Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Tustin