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

Gina Rose Gastelum, PAC

Individual provider Physician Assistant · NPI 1912946567

Gina Rose Gastelum, PAC is a Physician Assistant in Fortuna, California. Graduated from University of Washington School of Medicine in 1998, 28 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
University of Washington School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

3307 Renner Dr
Fortuna, CA 95540-3119
Phone: (707) 725-9832
Fax: (707) 725-7247
Show map & directions

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

Additional practice locations (2)

  • 3800 Janes Rd, Arcata, CA 95521-4742 — (707) 826-8264
  • 3800 Janes Rd, Arcata, CA 95521-4742 — (707) 826-8264

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15240 (CA)

Record details

NPI number1912946567
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedJune 6, 2006
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fortuna