Primary Critical Care Limited Partnership

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G42382 Issued in CA

Legal business name

PRIMARY CRITICAL CARE LIMITED PARTNERSHIP

Practice address

825 Delbon Ave
Turlock, CA 95382-2016

Phone

(209) 667-4200

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce T Gipe, MD

Title

President and General Partner

Phone

(818) 509-2222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1790743466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916030998",
            "telephone_number": "818-509-2222",
            "fax_number": "818-761-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822016",
            "telephone_number": "209-667-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CRITICAL CARE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "GIPE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT AND GENERAL PARTNER",
        "authorized_official_telephone_number": "818-509-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0088734",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Turlock, CA
• Providers in Turlock, 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 Feb 28, 2008; 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.