Individual provider Active NPI

Gary W. Peer, MD

  • Internal Medicine Physician
  • Livermore, CA
National Provider Identifier
1245346956
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G48280 Issued in CA
Practice address
87 Fenton St Ste 101
Livermore, CA 94550-4183
Phone
(925) 447-1330
Fax
(925) 447-0933
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 G48280 CA Primary

Addresses

Primary practice location

87 Fenton St Ste 101
Livermore, CA 94550-4183

Mailing address

87 Fenton St Ste 101
Livermore, CA 94550-4183
Phone (925) 447-1330

Other identifiers 1

IdentifierTypeStateIssuer
00G482800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G48280CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1245346956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FENTON ST STE 101",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504183",
            "telephone_number": "925-447-1330",
            "fax_number": "925-447-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FENTON ST STE 101",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504183",
            "telephone_number": "925-447-1330",
            "fax_number": "925-447-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEER",
        "first_name": "GARY",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G48280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G482800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.