Airport Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A6451 Issued in CA

Legal business name

AIRPORT MEDICAL CLINIC

Practice address

3775 Brickway Blvd.
Suite 110
Santa Rosa, CA 95403-8272

Phone

(707) 526-5888

Fax

(707) 526-5633

NPI assigned

Apr 24, 2007

Last updated

Mar 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Gabbay, D.O.NPI 1821028283

Title

Sole Proprietor

Phone

(707) 526-5888

Specialties & licenses 1

Addresses

Locations

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.

• Robert J Gabbay, D.O.

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1821028283
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205625600000",
    "number": "1912126376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BRICKWAY BLVD.",
            "address_2": "SUITE 110",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038272",
            "telephone_number": "707-526-5888",
            "fax_number": "707-526-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BRICKWAY BLVD.",
            "address_2": "SUITE 110",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038272",
            "telephone_number": "707-526-5888",
            "fax_number": "707-526-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRPORT MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-03-16",
        "status": "A",
        "authorized_official_last_name": "GABBAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "707-526-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bashar Khandaker Ahmed, M.D.
• Waseem Ahmed, MD
• Heather Aiello, OTR/L
• Amanda Aine, DDS
• Caitlin Rose Aiona Smith
• Leilani Kathryn Ako
• Sandra A Akrawi, REGISTERED DIETITIAN
• Mohammed Al-Otoum, PHARM.D.
• Anisah Faris Al-Qadi, MD
• Danette Alander

• Primary Care Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2008; 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.