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

Jeanette Gudino

Individual provider Physician Assistant · NPI 1538883293

Jeanette Gudino is a Physician Assistant in Santa Maria, California. Qualified in 2023, 3 years ago. Practices with Pacific Central Coast Health Centers, a 250-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

5075 S Bradley Rd Ste 131
Santa Maria, CA 93455-5077
Phone: (805) 332-8155
Fax: (805) 332-8156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62417 (CA)

Record details

NPI number1538883293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pacific Central Coast Health Centers — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Maria