Gerson Stauber, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G40139 Issued in CA

Practice address

3201 Data Drive
Rancho Cordova, CA 95670-6378

Phone

(916) 635-4120

Fax

(916) 631-8375

NPI assigned

Jul 15, 2006

Last updated

May 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1548286982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 DATA DRIVE",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-851-1440",
            "fax_number": "916-631-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 DATA DRIVE",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706378",
            "telephone_number": "916-635-4120",
            "fax_number": "916-631-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "GERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G40139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Springer, LCSW
• Square One
• Kethandapatti Gopalaswami Srinivas, M.D.
• Heidi Staggs
• State of California Emergency Medical Services Authority
• Anitra Steward, RBT
• James Lloyd Stirton Jr., D.C.
• Jane A. Stoinoff, MD
• Donald Arthur Stossmeister, R.EDT, CNIM
• Mary Stowes

• Internal Medicine Physician in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.