NPIMap

Organization Active NPI

Gage Pediatric Medical Corporation

  • Pediatrics Physician
  • Hanford, CA
National Provider Identifier
1962726109
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A86864 Issued in CA
Legal business name
GAGE PEDIATRIC MEDICAL CORPORATION
Practice address
833 Greenfield Ave
Suite 101
Hanford, CA 93230-3672
Phone
(559) 584-4764
Fax
(559) 584-4726
NPI assigned
Mar 17, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Michael L Gage, M.D.NPI 1386698181
Title
Ceo
Phone
(559) 584-4764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A86864 CA Primary

Addresses

Primary practice location

833 Greenfield Ave
Suite 101
Hanford, CA 93230-3672

Mailing address

833 Greenfield Ave
Suite 101
Hanford, CA 93230-3672
Phone (559) 584-4764

National Provider Directory

National Provider Directory

Locations

833 Greenfield Ave
Ste 101
Hanford, CA 93230
Phone (559) 584-4764

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

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": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962726109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 GREENFIELD AVE",
            "address_2": "SUITE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303672",
            "telephone_number": "559-584-4764",
            "fax_number": "559-584-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 GREENFIELD AVE",
            "address_2": "SUITE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303672",
            "telephone_number": "559-584-4764",
            "fax_number": "559-584-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGE PEDIATRIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-584-4764",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A86864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.