Active NPI
Raymond Gan, PHARM.D.
- Pharmacist
- Oakland, CA
National Provider Identifier
1598018509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67903
- Practice address
- 280 West Macarthur Boulevard
Oakland, CA 94611 - Phone
- (510) 752-6468
- NPI assigned
- Oct 16, 2012
- Last updated
- Oct 16, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67903 | CA | Primary |
Addresses
Primary practice location
280 West Macarthur Boulevard
Oakland, CA 94611
Mailing address
289 Leo Avenue
San Leandro, CA 94577
Phone (510) 333-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1598018509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 LEO AVENUE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94577",
"telephone_number": "510-333-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 WEST MACARTHUR BOULEVARD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94611",
"telephone_number": "510-752-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAN",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.