Healthcare Provider Details

I. General information

NPI: 1821095134
Provider Name (Legal Business Name): GARY GERSHONY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE STE 501
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

315 PERSHING DR
OAKLAND CA
94611-3236
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2873
  • Fax: 415-353-2528
Mailing address:
  • Phone: 925-408-7252
  • Fax: 510-601-0433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG47523
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberG47523
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: