Active NPI
James Edward Gaydos, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Walnut Creek, CA
National Provider Identifier
1790778439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 20A11811
- Practice address
- 2900 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3999 - Phone
- (925) 464-2100
- Fax
- (925) 464-2110
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A11811 | CA | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 20A11811 | CA | Primary |
Addresses
Primary practice location
2900 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3999
Mailing address
PO Box 1878
Martinez, CA 94553-0878
Phone (925) 464-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN2048 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 21, 2014 through Aug 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11811 | CA | MD | Family Medicine Physician |
| 11811 | CA | MD | Speech-Language Pathologist |
Interoperability endpoints
- jegaydos@jegd-ca.direct.office.nextgen.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1790778439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1878",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945530878",
"telephone_number": "925-464-2100",
"fax_number": "925-464-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CAMINO DIABLO",
"address_2": "SUITE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973999",
"telephone_number": "925-464-2100",
"fax_number": "925-464-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYDOS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A11811",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CA",
"license": "20A11811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN2048",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.