Active NPI
Craig S Gainza, D.D.S., M.S.D.
- Periodontics
- Vallejo, CA
National Provider Identifier
1922194026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 31464
- Practice address
- 27 Rotary Way
Vallejo, CA 94591-8475 - Phone
- (707) 642-4119
- Fax
- (707) 642-7833
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 31464 | CA | Primary |
Addresses
Primary practice location
27 Rotary Way
Vallejo, CA 94591-8475
Mailing address
27 Rotary Way
Vallejo, CA 94591-8475
Phone (707) 642-4119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31464 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922194026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 ROTARY WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918475",
"telephone_number": "707-642-4119",
"fax_number": "707-642-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 ROTARY WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918475",
"telephone_number": "707-642-4119",
"fax_number": "707-642-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINZA",
"first_name": "CRAIG",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "31464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.