Active NPI
Steven Douglas Gannon, R.C.P.
- Pulmonary Function Technologist Registered Respiratory Therapist
- Livermore, CA
National Provider Identifier
1609974880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Function Technologist Registered Respiratory Therapist
- License
- 8612
- Practice address
- 4951 Arroyo Road
Livermore, CA 94550 - Phone
- (925) 373-4700
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Function Technologist Registered Respiratory Therapist | 2279P1006X | 8612 | CA | Primary |
Addresses
Primary practice location
4951 Arroyo Road
Livermore, CA 94550
Mailing address
348 Daisyfield Drive
Livermore, CA 94551
Phone (925) 447-2138
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609974880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 DAISYFIELD DRIVE",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "94551",
"telephone_number": "925-447-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 ARROYO ROAD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "94550",
"telephone_number": "925-373-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "STEVEN",
"middle_name": "DOUGLAS",
"credential": "R.C.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2279P1006X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
"state": "CA",
"license": "8612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.