Sacramento Gastroenterology Medical Group, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SACRAMENTO GASTROENTEROLOGY MEDICAL GROUP, INC.

Practice address

3941 J Street
Suite #450
Sacramento, CA 95819

Phone

(916) 454-0655

Fax

(916) 454-5702

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gautam N Gandhi, MDNPI 1881720340

Title

Managing Partner

Phone

(916) 454-0655

Specialties & licenses 1

Addresses

Other names 1

• Sacramento Gastroenterology Medical Group, Inc. Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gautam N Gandhi, MD

  • Gastroenterology Physician
  • Sacramento, CA
  • NPI 1881720340
  Authorized official Same address or phone
• Jeffrey A Goldstein, MD

  • Gastroenterology Physician
  • Sacramento, CA
  • NPI 1134255698
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1699835777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 J STREET",
            "address_2": "SUITE #450",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95819",
            "telephone_number": "916-454-0655",
            "fax_number": "916-454-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J STREET",
            "address_2": "SUITE #450",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95819",
            "telephone_number": "916-454-0655",
            "fax_number": "916-454-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO GASTROENTEROLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "GAUTAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "916-454-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Gastroenterology Medical Group, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Gastroenterology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.