Active NPI
Gastro Physicians of California, Inc.
- Gastroenterology Physician
- Sacramento, CA
National Provider Identifier
1053071241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTRO PHYSICIANS OF CALIFORNIA, INC.
- Practice address
- 2288 Auburn Blvd Ste 101
Sacramento, CA 95821-1619 - Phone
- (209) 751-7165
- NPI assigned
- Dec 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan S Davidson X, MD
- Title
- Ceo
- Phone
- (209) 751-7165
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
2288 Auburn Blvd Ste 101
Sacramento, CA 95821-1619
Mailing address
1658 Citadella Dr
Roseville, CA 95747-5022
Phone (209) 751-7165
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Sacramento, CA
- NPI 1295891224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640736000000",
"number": "1053071241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 CITADELLA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957475022",
"telephone_number": "209-751-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2288 AUBURN BLVD STE 101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958211619",
"telephone_number": "209-751-7165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTRO PHYSICIANS OF CALIFORNIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-751-7165",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "X",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.