Dr. Gustavo Sandigo

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

License

J2777 Issued in TX

Legal business name

DR. GUSTAVO SANDIGO

Practice address

111 Northpark Dr
Victoria, TX 77901-2924

Phone

(361) 572-9654

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo H Sandigo, MD

Title

Physician

Phone

(361) 572-9654

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1790048817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTHPARK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012924",
            "telephone_number": "361-572-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTHPARK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012924",
            "telephone_number": "361-572-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GUSTAVO SANDIGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SANDIGO",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "361-572-9654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "TX",
            "license": "J2777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "90082672",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129610504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara A Dornbusch, CRNA
• Desi E Dorsogna, MD
• James F Dotter, M.D.
• Benjamin Douglas
• Dorothy Doyle, M.S. CCC SLP
• Dr. James N. Tisdale, O.D., P.C.
• Dr. Latino Family Clinic II PLLC
• Driscoll Children'S Hospital
• Beverly Laas Drost
• Mary Easley Drost, PT, DPT, CEEAA

• All providers in Victoria, TX
• Sleep Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.