Healthcare Provider Details

I. General information

NPI: 1689598112
Provider Name (Legal Business Name): DANIEL ESTEVAN GASCA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12910 CANNON AVE
CUTLER CA
93615-2214
US

IV. Provider business mailing address

12910 CANNON AVE
CUTLER CA
93615-2214
US

V. Phone/Fax

Practice location:
  • Phone: 559-548-0604
  • Fax:
Mailing address:
  • Phone: 559-548-0604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: