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

Gabriel Ray Wirtz Fierro

Individual provider Physician Assistant · NPI 1073262549

Gabriel Ray Wirtz Fierro is a Physician Assistant in Mission Hills, California. Qualified in 2022, 4 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022

Practice location Address checks out

11550 Indian Hills Rd Ste 261
Mission Hills, CA 91345-1244
Phone: (818) 847-6570
Fax: (310) 582-7495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15031 Rinaldi St, Mission Hills, CA 91345-1207 — (818) 365-8051

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61070 (CA)

Record details

NPI number1073262549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mission Hills