Individual provider Active NPI

Gary J Gadwood, M.D.

  • Surgery Physician
  • Pinole, CA
National Provider Identifier
1730245416
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00G236200 Issued in CA
Practice address
2150 Appian Way
Suite 206
Pinole, CA 94564-2583
Phone
(510) 724-0481
Fax
(510) 724-3082
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00G236200 CA Primary
General Practice Physician 208D00000X 00G236200 CA

Addresses

Primary practice location

2150 Appian Way
Suite 206
Pinole, CA 94564-2583

Mailing address

2150 Appian Way
Suite 206
Pinole, CA 94564-2583
Phone (510) 724-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000267 CA Practitioner - Family PracticePractitioner - General Surgery 4183740624 Practice locations: Pinole, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23620CAMDClinical Psychologist
00G236200CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolyn M. Lobo, M.D., Inc. Surgery Past Accepting new patients
Pinole Podiatry Group Inc PastSince May 10, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1730245416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 APPIAN WAY",
            "address_2": "SUITE 206",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642583",
            "telephone_number": "510-724-0481",
            "fax_number": "510-724-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 APPIAN WAY",
            "address_2": "SUITE 206",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642583",
            "telephone_number": "510-724-0481",
            "fax_number": "510-724-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADWOOD",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "00G236200",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "00G236200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

Verify at the official NPI Registry.