Active NPI
Pedro L Gambus, M.D.
- Anesthesiology Physician
- San Francisco, CA
National Provider Identifier
1265703979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- F5700
- Practice address
- 505 Parnassus Ave
San Francisco, CA 94143-2204 - Phone
- (415) 476-9058
- Fax
- (415) 476-9516
- NPI assigned
- Jan 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | F5700 | CA | Primary |
Addresses
Primary practice location
505 Parnassus Ave
San Francisco, CA 94143-2204
Mailing address
1635 Divisadero St
Suite 626
San Francisco, CA 94115-3036
Phone (415) 476-9058
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
| License | State | Type | Specialty |
|---|---|---|---|
| F5700 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1265703979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 DIVISADERO ST",
"address_2": "SUITE 626",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153036",
"telephone_number": "415-476-9058",
"fax_number": "415-476-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432204",
"telephone_number": "415-476-9058",
"fax_number": "415-476-9516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBUS",
"first_name": "PEDRO",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-26",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "F5700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.