G&R Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A102650 Issued in CA

Legal business name

G&R MEDICAL CORPORATION

Practice address

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552

Phone

(916) 481-0777

Fax

(916) 977-1265

NPI assigned

Dec 22, 2009

Organization subpart

No

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

Authorized official

Name

Godfrey Wong, M.D.

Title

M.D.

Phone

(410) 908-8343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1801125836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660877",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958660877",
            "telephone_number": "916-481-0777",
            "fax_number": "916-977-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "916-481-0777",
            "fax_number": "916-977-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&R MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "410-908-8343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A102650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Fuentes
• Natalia Fuentes
• Shondell Fuller
• William Robert Fulton, D.O.
• Albert Fung, PSY.D.
• Gilbert Saldo Gacilan, LCSW
• Edward Gadia, RCFE ADMINISTRATOR
• Arianne Jeanelle Cinense Gaerlan
• Arnie Cinense Gaerlan
• Ayra Gaerlan

• Anesthesiology Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.