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

Yesenia De Maria Landaverde-Gonzalez

Individual provider Physician Assistant · NPI 1801517040

Yesenia De Maria Landaverde-Gonzalez is a Physician Assistant in San Juan Capistrano, California. Licensed in California and Texas. Registered with an NPI since 2022.

Licensed in
CA, TX
In the registry since
2022
Specialties on file
2

Practice location Address checks out

30448 Rancho Viejo Rd Ste 150
San Juan Capistrano, CA 92675-1572
Phone: (949) 489-0773
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65297 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA19774 (TX)

Record details

NPI number1801517040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2022
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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