General Vascular Surgery Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G23370 Issued in CA

Legal business name

GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.

Doing business as

Noninvasive Vascular Lab

Practice address

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305

Phone

(510) 347-4700

Fax

(510) 347-4712

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert O Gingery, M.D.

Title

President

Phone

(510) 347-4700

Specialties & licenses 1

Addresses

Other names 1

• NONINVASIVE VASCULAR LAB Doing business as

Tax ID family

Lamont D Paxton MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• General Vascular Surgery Medical Group, Inc.

  dba Noninvasive Vascular Laboratory

  • Specialist
  • San Leandro, CA
  • NPI 1558546721
  NPD tax ID

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1336461516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "SUITE: 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20103 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465305",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "GINGERY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-347-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G23370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONINVASIVE VASCULAR LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gastroenterology Specialists Medical Group, Inc a Medical Corporation
• Bryan Gale Gatterman, D.C, D.A.C.B.R.
• Kelly Mead Gaughen, D.O.
• Michelle Gayle, LMFT
• Warren Gee, MD
• Generation Home Health Agency
• Genesis Healthcare
• Erin Geng, OTR/L, IBCLC
• George D Cowen, MD Professional Corp
• Katelyn Lee Germono

• Specialist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.