Healthcare Provider Details

I. General information

NPI: 1588827844
Provider Name (Legal Business Name): GREGORY S. TAPSON M D, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26607 CARMEL CENTER PL STE 104
CARMEL CA
93923-8652
US

IV. Provider business mailing address

26607 CARMEL CENTER PL STE 104
CARMEL CA
93923-8652
US

V. Phone/Fax

Practice location:
  • Phone: 831-624-3077
  • Fax: 831-624-8662
Mailing address:
  • Phone: 831-624-3077
  • Fax: 831-624-8662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG071123
License Number StateCA

VIII. Authorized Official

Name: DR. GREGORY S TAPSON
Title or Position: OWNER
Credential: M.D.
Phone: 831-624-3077