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

Nicole Gentry, PA

Individual provider Physician Assistant · NPI 1619017704

Nicole Gentry, PA is a Physician Assistant in Redondo Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2114 Artesia Blvd
Redondo Beach, CA 90278-3014
Phone: (310) 802-6177
Fax: (310) 802-6178
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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 PA16112 (CA)

Record details

NPI number1619017704
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJuly 8, 2007

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