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NPI Code Detail

MEDICARE: DR. JANET E GASTON M.D.

MEDICARE: DR. JANET E GASTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianC38245CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053351825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET E GASTON M.D.
Provider Business Mailing Address
First Line : DEPT 34929
Second Line : P.O. BOX 39000
City : SAN FRANCISCO
State : CA
Zip : 94139-0001
Country : US
Telephone Number : 925-952-2828
Fax Number : 925-952-2850
Provider Business Practice Location Address
First Line : 1505 SAINT ALPHONSUS WAY
Second Line :
City : ALAMO
State : CA
Zip : 94507-1570
Country : US
Telephone Number : 925-837-4225
Fax Number : 925-838-5775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 06/21/2012

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