Individual provider Active NPI

Frank H. Gawin, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Yuba City, CA
National Provider Identifier
1710159124
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
G49142 Issued in CA
Practice address
1777 Del Lago
Mood & Addiction Neuroscience Foundation
Yuba City, CA 95991-6905
Phone
(310) 456-9710
Fax
(310) 456-9710
NPI assigned
Mar 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X G49142 CA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X G49142 CA Primary
Clinical Neurophysiology Physician 2084N0600X G49142 CA
Addiction Psychiatry Physician 2084P0802X G49142 CA
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X G49142 CA
Clinical Pharmacology Physician 208U00000X G49142 CA
Legal Medicine (M.D./D.O.) Physician 209800000X G49142 CA

Addresses

Primary practice location

1777 Del Lago
Mood & Addiction Neuroscience Foundation
Yuba City, CA 95991-6905

Mailing address

1777 Del Lago
Mood & Addiction Neuroscience Foundation
Yuba City, CA 95991-6905
Phone (310) 456-9710

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 Medicine

State licenses

LicenseStateTypeSpecialty
G49142CAMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1710159124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 DEL LAGO",
            "address_2": "MOOD & ADDICTION NEUROSCIENCE FOUNDATION",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916905",
            "telephone_number": "310-456-9710",
            "fax_number": "310-456-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 DEL LAGO",
            "address_2": "MOOD & ADDICTION NEUROSCIENCE FOUNDATION",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916905",
            "telephone_number": "310-456-9710",
            "fax_number": "310-456-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWIN",
        "first_name": "FRANK",
        "middle_name": "H.",
        "name_prefix": "Prof.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G49142",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G49142",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "G49142",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "G49142",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "G49142",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "CA",
            "license": "G49142",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G49142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.