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

Gary R. Chiswick Jr., PA

Individual provider Medical Physician Assistant · NPI 1174964001

Gary R. Chiswick Jr., PA is a Medical Physician Assistant in San Marcos, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

150 Valpreda Rd
San Marcos, CA 92069-2973
Phone: (760) 736-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA22667 (CA)

Record details

NPI number1174964001
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 8, 2013
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

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