Gilroy Family Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GILROY FAMILY MEDICAL GROUP, INC

Practice address

9460 No Name Uno
#115
Gilroy, CA 95020

Phone

(408) 842-3133

Fax

(408) 842-2229

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roger F Lucero, MD

Title

Physician President

Phone

(408) 842-3133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1821162884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 NO NAME UNO",
            "address_2": "#115",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-842-3133",
            "fax_number": "408-842-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 NO NAME UNO",
            "address_2": "#115",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-842-3133",
            "fax_number": "408-842-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILROY FAMILY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "408-842-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ57748Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliet Anne Gica
• Michael Alan Gilbert Jr.
• Thomas P. Gill, PH.D.
• Gilroy Chiropractic Center
• Gilroy Endoscopy Center LLC
• Gilroy Gastro LLC
• Gilroy Medical Group, Inc
• Gilroy SLS LLC
• Gilroy Unified School District
• Leah Gleason, MA, CCC-SLP

• Family Medicine Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.