Organization Active NPI

Bob Ghelfi MD PC

Doing business as BodyLogicMD of Sacramento

  • Specialist
  • Sacramento, CA
National Provider Identifier
1730413774
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G75101 Issued in CA
Legal business name
BOB GHELFI MD PC
Doing business as
BodyLogicMD of Sacramento
Practice address
2295 Gateway Oaks Dr
Suite 105
Sacramento, CA 95833-3225
Phone
(866) 972-5302
Fax
(866) 972-5303
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Bob Ghelfi, D.O.
Title
Owner/Operator
Phone
(866) 972-5302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G75101 CA Primary

Addresses

Primary practice location

2295 Gateway Oaks Dr
Suite 105
Sacramento, CA 95833-3225

Mailing address

2295 Gateway Oaks Dr
Suite 105
Sacramento, CA 95833-3225
Phone (866) 972-5302

Other names 1

  • BodyLogicMD of Sacramento Doing business as

National Provider Directory

National Provider Directory

Locations

2295 Gateway Oaks Dr
Ste 105
Sacramento, CA 95833
Phone (530) 339-1400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1730413774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 GATEWAY OAKS DR",
            "address_2": "SUITE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333225",
            "telephone_number": "866-972-5302",
            "fax_number": "866-972-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 GATEWAY OAKS DR",
            "address_2": "SUITE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333225",
            "telephone_number": "866-972-5302",
            "fax_number": "866-972-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB GHELFI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "GHELFI",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "866-972-5302",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G75101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.