Individual provider Active NPI

Michael Salvadore Gaddini, M.D.

  • Family Medicine Physician
  • El Dorado Hills, CA
National Provider Identifier
1932148178
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G52746 Issued in CA
Practice address
2019 Outrigger Dr
El Dorado Hills, CA 95762-3756
Phone
(916) 835-5892
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X G52746 CA
Family Medicine Physician 207Q00000X G52746 CA Primary

Addresses

Primary practice location

2019 Outrigger Dr
El Dorado Hills, CA 95762-3756

Mailing address

2019 Outrigger Dr
El Dorado Hills, CA 95762-3756
Phone (916) 835-5892

Other identifiers 1

IdentifierTypeStateIssuer
00G527460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000298 CA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0143489757 Practice locations: Diamond Springs, CA; El Dorado Hills, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Snowline Eldercare PC PastSince Nov 10, 2024 Accepting new patients
Snowline Hospice of El Dorado County Family Medicine PastSince Apr 21, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1932148178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 OUTRIGGER DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623756",
            "telephone_number": "916-835-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 OUTRIGGER DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623756",
            "telephone_number": "916-835-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDINI",
        "first_name": "MICHAEL",
        "middle_name": "SALVADORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G52746",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G52746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G527460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.