Gameday Sports Medicine Academy

Primary specialty

Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X

Legal business name

GAMEDAY SPORTS MEDICINE ACADEMY

Practice address

3101 Gilmore Ave Ste 100
Bakersfield, CA 93308-6342

Phone

(661) 327-2101

Fax

(661) 327-2554

NPI assigned

Jul 30, 2019

Organization subpart

Yes

Parent organization

CALIFORNIA INSTITUTE OF COSMETIC AND RECONSTRUCTIVE SURGERYAs reported in NPPES

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

Authorized official

Name

Vipul Raman Dev

Title

Owner/President

Phone

(661) 327-2101

Specialties & licenses 1

Addresses

Tax ID family

California Inst of Cos Rec2 organizations share this tax ID, including this one

Part of

California Inst of Cos Rec

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• California Institute of Cosmetic & Reconstructive Surgery a Medical Co

  • Plastic and Reconstructive Surgery Physician
  • Bakersfield, CA
  • NPI 1396921797
  NPD tax ID

Locations

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1689228462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086373",
            "telephone_number": "661-706-9444",
            "fax_number": "661-327-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GILMORE AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086342",
            "telephone_number": "661-327-2101",
            "fax_number": "661-327-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMEDAY SPORTS MEDICINE ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA INSTITUTE OF COSMETIC AND RECONSTRUCTIVE SURGERY",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "DEV",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "RAMAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "661-327-2101"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gamboa
• Gabriela Gamboa
• Jennifer Gamboa
• Omar Enrique Gamboa
• Christopher R. Gambrioli, MD
• Natalie Gamez Nunez
• Bryan Gamez
• Diana Gamez
• Ana Patricia Gamino-Alvarez, LVN
• Luis F Gamino-Buzo, LCSW

• Pediatric Sports Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pediatric Sports Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.