Organization Active NPI

DRS Malin, Aubry, Gores ,Wang

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1477563831
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DRS MALIN, AUBRY, GORES ,WANG
Practice address
909 Hyde St Ste 125
San Francisco, CA 94109-4832
Phone
(415) 771-4366
Fax
(415) 771-6412
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Dr. Guido J Gores, M.D.
Title
Senior Partner
Phone
(415) 771-4366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

909 Hyde St Ste 125
San Francisco, CA 94109-4832

Mailing address

909 Hyde St Ste 125
San Francisco, CA 94109-4832
Phone (415) 771-4366

Other identifiers 2

IdentifierTypeStateIssuer
GR0076920MedicaidCA
05D0593636OtherCACLIA#

Other names 1

  • DRS MALIN, AUBRY,GORES,WANG Doing business as

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1477563831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 125",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094832",
            "telephone_number": "415-771-4366",
            "fax_number": "415-771-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 125",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094832",
            "telephone_number": "415-771-4366",
            "fax_number": "415-771-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MALIN, AUBRY, GORES ,WANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "GORES",
        "authorized_official_first_name": "GUIDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "415-771-4366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "05D0593636",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS MALIN, AUBRY,GORES,WANG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.