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

Gissel Stephanie Chujutalli, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1477067890

Gissel Stephanie Chujutalli, PHYSICIANASSISTANT is a Physician Assistant in Rancho Mirage, California. Qualified in 2017, 9 years ago. Practices with Eisenhower Medical Center, a 459-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone: (760) 340-3911
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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 55160 (CA)

Record details

NPI number1477067890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 21, 2017
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020

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 Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rancho Mirage