Health Gorilla Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HEALTH GORILLA INC

Practice address

2242 Camden Ave Ste 204
San Jose, CA 95124-2029

Phone

(650) 383-4768

Fax

(650) 249-1364

NPI assigned

May 21, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Yaskin

Title

Ceo

Phone

(650) 272-1218

Specialties & licenses 1

Addresses

Other names 1

• Health Gorilla Medical Other name

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1740855758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 HAMILTON AVE FL 3",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012583",
            "telephone_number": "844-446-7455",
            "fax_number": "650-249-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 CAMDEN AVE STE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242029",
            "telephone_number": "650-383-4768",
            "fax_number": "650-249-1364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Hamilton Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012583",
            "country_code": "US",
            "telephone_number": "844-446-7455",
            "fax_number": "650-249-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH GORILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "YASKIN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-272-1218"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Gorilla Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.