Active NPI
Caroline Gudorf, M.S.
- Student in an Organized Health Care Education/Training Program
- Walnut Creek, CA
National Provider Identifier
1295926335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 390Z00000X
- Practice address
- 141 Rosemont CT
Walnut Creek, CA 94597-3466 - Phone
- (925) 899-7450
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 390Z00000X | CA | Primary |
Addresses
Primary practice location
141 Rosemont CT
Walnut Creek, CA 94597-3466
Mailing address
141 Rosemont CT
Walnut Creek, CA 94597-3466
Phone (925) 899-7450
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390Z00000X | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1295926335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 ROSEMONT CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973466",
"telephone_number": "925-899-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 ROSEMONT CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973466",
"telephone_number": "925-899-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDORF",
"first_name": "CAROLINE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "390Z00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.