# GEROME MEDINACELI GEPIGON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326406224
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 67602 | CA | Yes |
| 363AS0400X | Surgical Physician Assistant | 1145 | NH | — |
| 363AS0400X | Surgical Physician Assistant | 61032719 | WA | — |
| 363AS0400X | Surgical Physician Assistant | 6763 | CT | — |

## Other

- **Enumeration date:** 02/05/2016
- **Last updated:** 03/24/2026