NPIMap

Organization Active NPI

Gastric Banding Medical Group Inc

Doing business as Ambulatory Care Medical Group

  • Specialist
  • San Diego, CA
National Provider Identifier
1841675386
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C35744 Issued in CA
Legal business name
GASTRIC BANDING MEDICAL GROUP INC
Doing business as
Ambulatory Care Medical Group
Practice address
8705 Complex Dr
San Diego, CA 92123-1401
Phone
(858) 715-1822
Fax
(858) 974-7245
NPI assigned
Jul 27, 2015
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Ronald Leroy Gertsch, M.D.
Title
Medical Director
Phone
(858) 715-1822

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A35980 CA
Specialist 174400000X A67078 CA
Specialist 174400000X C35744 CA Primary

Addresses

Primary practice location

8705 Complex Dr
San Diego, CA 92123-1401

Mailing address

8705 Complex Dr
San Diego, CA 92123-1401
Phone (858) 715-1822

Other identifiers 3

IdentifierTypeStateIssuer
1124080015OtherNPI
1043356033OtherNPI
1891877056OtherNPI

Other names 1

  • Ambulatory Care Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ambulatory Care Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1841675386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 COMPLEX DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231401",
            "telephone_number": "858-715-1822",
            "fax_number": "858-974-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 COMPLEX DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231401",
            "telephone_number": "858-715-1822",
            "fax_number": "858-974-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRIC BANDING MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "GERTSCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-715-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A35980",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A67078",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C35744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124080015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043356033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891877056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.