Active NPI
Gary M. Sanchez, PA-C
- Physician Assistant
- Greenbrae, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14454
- Practice address
- 1100 S Eliseo Dr Ste 1
Greenbrae, CA 94904-2017 - Phone
- (415) 514-6868
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14454 | CA | Primary |
Addresses
Primary practice location
1100 S Eliseo Dr Ste 1
Greenbrae, CA 94904-2017
Mailing address
1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 576-3601
Other practice location 1
99 Montecillo Rd
San Rafael, CA 94903-3308
Phone (415) 444-2560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD069A | Other | CA | GROUP MEDICARE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14454 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
1100 S Eliseo Dr
Ste 1
Greenbrae, CA 94904
Phone (415) 514-5000
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
99 Montecillo Rd
San Rafael, CA 94903
Phone (415) 444-2047
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1477624104
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- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Surgery Physician
- San Francisco, CA
- NPI 1346329380
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1386658318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504404",
"telephone_number": "209-576-3601",
"fax_number": "209-576-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S ELISEO DR STE 1",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042017",
"telephone_number": "415-514-6868"
}
],
"practiceLocations": [
{
"address_1": "99 Montecillo Rd",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949033308",
"country_code": "US",
"telephone_number": "415-444-2560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "GARY",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE #",
"identifier": "CD069A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.