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

Gayle Fenner, PA

Individual provider Physician Assistant · NPI 1255720025

Gayle Fenner, PA is a Physician Assistant in Walnut Creek, California. Qualified in 2014, 12 years ago. Practices with Golden State Orthopedics and Spine, a 190-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone: (925) 939-8585
Fax: (925) 933-2709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 52252 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 52252 (CA)

Record details

NPI number1255720025
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 16, 2015
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Golden State Orthopedics And Spine — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Walnut Creek