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

Jimmy Enrique Gil Jr.

Individual provider Medical Physician Assistant · NPI 1366134991

Jimmy Enrique Gil Jr. is a Physician Assistant in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Estrella Pkwy Medical Center LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona and Puerto Rico.

Years since qualifying
9
Licensed in
AZ, PR
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1635 N Hobart Blvd Apt 12
Los Angeles, CA 90027-6913
Phone: (704) 804-1304
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10460 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1675-P.A. (PR)

Record details

NPI number1366134991
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 23, 2023
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

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 Estrella Pkwy Medical Center Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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