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

Mr. Gordon Wallace Waite Jr.

Individual provider Registered Nurse · NPI 1376862862

Mr. Gordon Wallace Waite Jr. is a Registered Nurse in Carmichael, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010

Practice location Address checks out

5953 Landis Ave
Carmichael, CA 95608-3821
Phone: (916) 487-5049
Fax: (916) 487-5049
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 673704 (CA)

Record details

NPI number1376862862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2010
Last updated in NPPESMay 23, 2010

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