Gang Bao, M.D., Inc.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A83170 Issued in CA

Legal business name

GANG BAO, M.D., INC.

Practice address

6699 Alvarado Rd Ste 2306
San Diego, CA 92120-5241

Phone

(619) 287-7617

Fax

(619) 287-4536

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Gang Bao, MDNPI 1922008598

Title

President

Phone

(619) 287-7617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gang Bao, M.D.

  • Pulmonary Disease Physician
  • San Diego, CA
  • NPI 1922008598
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1154413524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205270",
            "telephone_number": "619-286-8803",
            "fax_number": "619-286-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205241",
            "telephone_number": "619-287-7617",
            "fax_number": "619-287-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANG BAO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "GANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-287-7617",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A83170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Leanne Gandy
• Theresa Ganelin
• Ankitha Ganesan
• Anusha Preethi Ganesan
• Marja Ganesh, AMFT/APCC
• Mona Gangar, MD
• Leilani Gangcuangco
• David Lyle Gangsei, PHD
• Theodore G Ganiats, M.D.
• Andrea Ganier

• Pulmonary Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.