Individual provider Active NPI

Don Harold Gaede, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1043378045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G35060 Issued in CA
Practice address
7191 N Millbrook Ave
Ste. 115
Fresno, CA 93720-3365
Phone
(559) 261-0266
Fax
(559) 261-1307
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G35060 CA Primary

Addresses

Primary practice location

7191 N Millbrook Ave
Ste. 115
Fresno, CA 93720-3365

Mailing address

7191 N Millbrook Ave
Ste. 115
Fresno, CA 93720-3365
Phone (559) 261-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000438 CA Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 5698802767 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G35060CAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043378045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 N MILLBROOK AVE",
            "address_2": "STE. 115",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203365",
            "telephone_number": "559-261-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 N MILLBROOK AVE",
            "address_2": "STE. 115",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203365",
            "telephone_number": "559-261-0266",
            "fax_number": "559-261-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEDE",
        "first_name": "DON",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G35060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.