NPIMap

Organization Active NPI

B&G PA Medical Services

  • Physician Assistant
  • El Dorado Hills, CA
National Provider Identifier
1356660302
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11993 Issued in CA
Legal business name
B&G PA MEDICAL SERVICES
Practice address
4027 Bancroft Dr
El Dorado Hills, CA 95762-6935
Phone
(916) 933-4050
NPI assigned
May 28, 2010
Last updated
May 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Mr. Gary Nelson Dunaye, PA
Title
President
Phone
(916) 801-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11993 CA Primary

Addresses

Primary practice location

4027 Bancroft Dr
El Dorado Hills, CA 95762-6935

Mailing address

4027 Bancroft Dr.
El Dorado Hills, CA 95762
Phone (916) 933-4050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1356660302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 BANCROFT DR.",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95762",
            "telephone_number": "916-933-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 BANCROFT DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957626935",
            "telephone_number": "916-933-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&G PA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "DUNAYE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-801-6988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.