Healthcare Provider Details

I. General information

NPI: 1235404583
Provider Name (Legal Business Name): CAMERON ERIC GASKILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 12/30/2021
Certification Date: 12/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UC DAVIS COMPREHENSIVE CANCER CENTER 4501 X STREET, SUITE 3010
SACRAMENTO CA
95817
US

IV. Provider business mailing address

2335 STOCKTON BLVD., NOAB 6TH FLOOR
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 713-792-6161
  • Fax:
Mailing address:
  • Phone: 916-734-5907
  • Fax: 916-703-5267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberA174935
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA174935
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: