NPIMap

Organization Active NPI

Bruce M. Gach, M.D., Inc.

Doing business as Livermore/Pleasanton Pediatrics Group

  • Specialist
  • Livermore, CA
National Provider Identifier
1801897806
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G21896 Issued in CA
Legal business name
BRUCE M. GACH, M.D., INC.
Doing business as
Livermore/Pleasanton Pediatrics Group
Practice address
1133 E Stanley Blvd
#103
Livermore, CA 94550-4200
Phone
(925) 455-5050
Fax
(925) 455-6560
NPI assigned
Aug 2, 2005
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Dr. Bruce M Gach, M.D.
Title
Owner
Phone
(925) 455-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G21896 CA Primary

Addresses

Primary practice location

1133 E Stanley Blvd
#103
Livermore, CA 94550-4200

Mailing address

1133 E Stanley Blvd
#103
Livermore, CA 94550-4200
Phone (925) 455-5050

Other names 1

  • Livermore/Pleasanton Pediatrics Group Doing business as

National Provider Directory

National Provider Directory

Locations

1133 E Stanley Blvd
Ste 340
Livermore, CA 94550

11030 Bollinger Canyon Rd
San Ramon, CA 94582

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1801897806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "#103",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-455-5050",
            "fax_number": "925-455-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "#103",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-455-5050",
            "fax_number": "925-455-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M. GACH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "GACH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-455-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G21896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livermore/Pleasanton Pediatrics Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.