Organization Active NPI

David S Gans MD

  • Internal Medicine Physician
  • Arcata, CA
National Provider Identifier
1861689044
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A22041 Issued in CA
Legal business name
DAVID S GANS MD
Practice address
3798 Janes Rd
#18
Arcata, CA 95521-4753
Phone
(707) 822-0395
Fax
(707) 822-4429
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. David Stoddard Gans, MD
Title
Owner
Phone
(707) 822-0395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A22041 CA Primary

Addresses

Primary practice location

3798 Janes Rd
#18
Arcata, CA 95521-4753

Mailing address

3798 Janes Rd
#18
Arcata, CA 95521-4753
Phone (707) 822-0395

Other identifiers 2

IdentifierTypeStateIssuer
A22041OtherCASTATE
00A220410MedicaidCA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8316/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1861689044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "address_2": "#18",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214753",
            "telephone_number": "707-822-0395",
            "fax_number": "707-822-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "address_2": "#18",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214753",
            "telephone_number": "707-822-0395",
            "fax_number": "707-822-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S GANS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "GANS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STODDARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-822-0395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A22041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "A22041",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A220410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.