MEDICARE: GILBERT ANTHONY SILVA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA 10516	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA 10516	OTHER	CA	MEDICAL LICENSE NUMBER

General Provider Information

NPI Number	:	1801840707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILBERT ANTHONY SILVA PA-C

Provider Business Mailing Address
First Line	:	PO BOX 1319
Second Line	:
City	:	SALIDA
State	:	CA
Zip	:	95368-1319
Country	:	US
Telephone Number	:	209-543-6279
Fax Number	:	209-543-6280

Provider Business Practice Location Address
First Line	:	1919 VISTA DEL LAGO DR
Second Line	:
City	:	VALLEY SPRINGS
State	:	CA
Zip	:	95252-9294
Country	:	US
Telephone Number	:	209-772-9538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	07/08/2007

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