Gilroy Gastro LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GILROY GASTRO LLC

Practice address

9460 N Name Uno Ste 130
Gilroy, CA 95020-3532

Phone

(408) 848-8336

Fax

(408) 848-8337

NPI assigned

May 19, 2020

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prince Shah, MDNPI 1174632251

Title

Managing Partner

Phone

(408) 848-8336

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prince Shah, M.D.

  • Gastroenterology Physician
  • Gilroy, CA
  • NPI 1174632251
  Authorized official Same address or phone

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1336762863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 130",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203532",
            "telephone_number": "408-848-8336",
            "fax_number": "408-848-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 130",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203532",
            "telephone_number": "408-848-8336",
            "fax_number": "408-848-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILROY GASTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "408-848-8336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Alan Gilbert Jr.
• Thomas P. Gill, PH.D.
• Gilroy Chiropractic Center
• Gilroy Endoscopy Center LLC
• Gilroy Family Medical Group, Inc
• Gilroy Medical Group, Inc
• Gilroy SLS LLC (Gilroy SLS)
• Gilroy Unified School District
• Leah Gleason, MA, CCC-SLP
• Wanda Romona Glennon

• Gastroenterology Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.