G6 Concierge Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

G6 CONCIERGE MEDICINE INC

Practice address

897 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916

Phone

(415) 500-4289

Fax

(415) 325-5536

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Juhi Goswamy, MD, MPHNPI 1821448317

Title

Physician/Ceo

Phone

(415) 500-4289

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juhi Goswamy, M.D., M.P.H.

  • Internal Medicine Physician
  • San Anselmo, CA
  • NPI 1821448317
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1750034427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6671",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954060671",
            "telephone_number": "415-500-4289",
            "fax_number": "415-325-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601916",
            "telephone_number": "415-500-4289",
            "fax_number": "415-325-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G6 CONCIERGE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "GOSWAMY",
        "authorized_official_first_name": "JUHI",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "415-500-4289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lassa J Frank, O.D.
• Judith Anne Frankel
• Tanya Robin Gibsone Fredricks, MPT, CEEAA
• Daniel Craig Freeman, D.D.S.
• Barbara Joy French, FNP-C
• Gina Lin Galliani
• Marvin Robert Garovoy, M.D.
• Dylan F Girardi, PHARMD
• Jennifer K Glatzer, MS OTR/L, CHT
• Ed J Goebel II, RPH

• Internal Medicine Physician in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.