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

Gina Laura Wachutka, PA-C

Individual provider Surgical Physician Assistant · NPI 1902253974

Gina Laura Wachutka, PA-C is a Surgical Physician Assistant in Oakland, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

275 W Macarthur Blvd Ste 17
Oakland, CA 94611-5641
Phone: (510) 752-1155
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 53269 (CA)

Record details

NPI number1902253974
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESJanuary 11, 2022
Certification dateOctober 7, 2021

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