John Edward Gaidry, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A44411 Issued in CA

Practice address

1101 Felspar St
San Diego, CA 92109-2925

Phone

(858) 274-0300

Fax

(858) 483-9761

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215967906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FELSPAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092925",
            "telephone_number": "858-274-0300",
            "fax_number": "858-483-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FELSPAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092925",
            "telephone_number": "858-274-0300",
            "fax_number": "858-483-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDRY",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44411",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "07508R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L. Gagnon, M.D.
• Theresa Gagos, PH.D.
• Sheila Gahagan, MD
• Heidi Michelle Gahn
• Teodora Gaidadjiev, PA-C
• Feroozan Gailani, MFT
• Clark Edward Gailey, AU.D.
• Allison Michele Gain, MPH
• Shelby Gainer
• Dirk Gaines, MD

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.