GSK Group, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GSK GROUP, INC.

Practice address

2087 Grand Canal Blvd
Suite 10
Stockton, CA 95207-6651

Phone

(209) 478-0691

Fax

(209) 478-0919

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Miss Gladys Samson

Title

President

Phone

(209) 478-0691

Specialties & licenses 1

Addresses

Other names 1

• Gateway Healthcare Doing business as

Locations

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1316110182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 GRAND CANAL BLVD",
            "address_2": "SUITE 9B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076651",
            "telephone_number": "209-478-0691",
            "fax_number": "209-478-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 GRAND CANAL BLVD",
            "address_2": "SUITE 10",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076651",
            "telephone_number": "209-478-0691",
            "fax_number": "209-478-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSK GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-478-0691",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Stockton, CA
• Providers in Stockton, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.