Gastro Consultants of Sacramento, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G66389 Issued in CA

Legal business name

GASTRO CONSULTANTS OF SACRAMENTO, INC.

Practice address

1014 N Market Blvd
Suite 45
Sacramento, CA 95834-1986

Phone

(209) 751-7165

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Sam Davidson, M.D.

Title

Ceo

Phone

(209) 751-7165

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1427472745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 BURGENLAND AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820343",
            "telephone_number": "209-751-7165",
            "fax_number": "209-579-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N MARKET BLVD",
            "address_2": "SUITE 45",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341986",
            "telephone_number": "209-751-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO CONSULTANTS OF SACRAMENTO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-751-7165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G66389",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G66389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gaspar
• Kathy G Gaspar, M.D.
• Lilliana Lucy Gasparyan
• Jeffrey David Gaston, MD
• Katherine Gaston
• Gastro Physicians of California, Inc.
• Gastroenterology Consultants Medical Group Inc.
• Arthur R Gates III
• Brianna Beth Gates
• Edquest Gates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.