John E. Gaidry, Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A44411 Issued in CA

Legal business name

JOHN E. GAIDRY, MEDICAL CORPORATION

Practice address

1101 Felspar St
San Diego, CA 92109-2925

Phone

(858) 274-0300

NPI assigned

Dec 23, 2014

Organization subpart

No

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

Authorized official

Name

John E Gaidry, M.D.

Title

Owner

Phone

(858) 274-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1962890095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FELSPAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FELSPAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092925",
            "telephone_number": "858-274-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. GAIDRY, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "GAIDRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-274-0300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.