Organization Active NPI

Dr. Gao Medical Clinic. Inc

  • Primary Care Clinic/Center
  • Concord, CA
National Provider Identifier
1497015937
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3471455 Issued in CA
Legal business name
DR. GAO MEDICAL CLINIC. INC
Practice address
2485 High School Ave Ste 204
Concord, CA 94520-1817
Phone
(925) 676-1995
Fax
(925) 676-0168
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Dr. Biqi Gao, M.D.NPI 1407869142
Title
Family Physician
Phone
(650) 387-3259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3471455 CA Primary

Addresses

Primary practice location

2485 High School Ave Ste 204
Concord, CA 94520-1817

Mailing address

2485 High School Ave Ste 204
Concord, CA 94520-1817
Phone (925) 676-1995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120716000078 CA Part B Supplier - Clinic/Group Practice 7214193408 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, CA

National Provider Directory

National Provider Directory

Locations

2485 High School Ave
Ste 204
Concord, CA 94520
Phone (310) 699-3538

Practitioners & affiliated clinicians

Practitioners 2

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": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1497015937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE STE 204",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201817",
            "telephone_number": "925-676-1995",
            "fax_number": "925-676-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE STE 204",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201817",
            "telephone_number": "925-676-1995",
            "fax_number": "925-676-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GAO MEDICAL CLINIC. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "BIQI",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "650-387-3259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "3471455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.