Waide Hicks Gonzales, PA-C
Waide Hicks Gonzales, PA-C is a Physician Assistant in Sebastopol, California. Qualified in 2021, 5 years ago. Practices with Alliance Medical Center, a 43-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 5
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
Sebastopol, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA60135 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1881278687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 7, 2021 |
| Last updated in NPPES | October 4, 2021 |
| Certification date | October 4, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Alliance Medical Center — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Mary Catherine Candelario, ASW
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Basim Abraham Farah, MACLINICALPSY
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Dr. Cecille M Gannon, PSYD
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Taylor Marie Heissenbuttel
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Miguel Ibarra
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Miss. Maria Iduvina Onofre, BACHELOR
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Verenice Portales
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