Individual provider · Type 1 NPI

Yesenia De Maria Landaverde-Gonzalez

Physician Assistant · San Juan Capistrano, CA

NPI number 1801517040 Active

Practice location

30448 Rancho Viejo Rd Ste 150
San Juan Capistrano, CA 92675-1572

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA19774 (TX)
Physician Assistant Primary 363A00000XPA65297 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801517040

Yesenia De Maria Landaverde-Gonzalez's National Provider Identifier is 1801517040, issued on Sep 7, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Feb 19, 2026.