Joan Misch Gates MD Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G037742 Issued in CA

Legal business name

JOAN MISCH GATES MD INC

Practice address

125 Ciro Ave
Wound Care Clinic
San Jose, CA 95128-1671

Phone

(408) 947-2804

Fax

(408) 947-3480

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joan Misch Gates, MDNPI 1245213727

Title

Ceo

Phone

(650) 948-4981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan Misch Gates, M.D.

  • Emergency Medicine Physician
  • San Jose, CA
  • NPI 1245213727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1336312669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 LA RENA LN",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940224644",
            "telephone_number": "650-948-4981",
            "fax_number": "650-949-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CIRO AVE",
            "address_2": "WOUND CARE CLINIC",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281671",
            "telephone_number": "408-947-2804",
            "fax_number": "408-947-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN MISCH GATES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MISCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-948-4981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G037742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.