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

Gaston Jeremiah, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1518310333

Gaston Jeremiah, PHYSICIANASSISTANT is a Physician Assistant in Stanford, California. Qualified in 2017, 9 years ago. Practices with Orange County Thoracic and Cardiovascular Surgeons a Med Corp, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Connecticut.

Years since qualifying
9
Licensed in
CA, CT
In the registry since
2016
Specialties on file
4

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

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

Additional practice locations (1)

  • 1310 W Stewart Dr Ste 503, Orange, CA 92868-3856 — (714) 997-2224

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55591 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3746 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 55591 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 3746 (CT)

Record details

NPI number1518310333
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 16, 2016
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orange County Thoracic And Cardiovascular Surgeons A Med Corp — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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