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

Gary Vanetsky, PA-C

Individual provider Medical Physician Assistant · NPI 1417034489

Gary Vanetsky, PA-C is a Physician Assistant in Encinitas, California. Qualified in 1998, 28 years ago. Practices with J Robert West MD Inc, a 138-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

477 N El Camino Real C-312
Encinitas, CA 92024-1328
Phone: (760) 436-2300
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA15456 (CA)

Record details

NPI number1417034489
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESApril 22, 2016
Mailing address2285 Corporate Cir, Ste 200, Henderson, NV 89074-7759

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice J Robert West Md Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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