MEDICARE: DR. PAYTON ANNE GORE MD

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
1	207L00000X	Anesthesiology Physician	183147	CA

General Provider Information

NPI Number	:	1295315570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAYTON ANNE GORE MD

Provider Business Mailing Address
First Line	:	4150 V ST.
Second Line	:	PSSB 1200
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2403
Country	:	US
Telephone Number	:	916-734-5028
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 V STREET
Second Line	:	PSSB 1200
City	:	SACRAMENTO
State	:	CA
Zip	:	95817
Country	:	US
Telephone Number	:	916-734-5028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	12/29/2025

Similar Medicare Providers

1609413053 — LILIYA KLIMKIV
Practice Location Address:

2315 STOCKTON BLVD
SACRAMENTO, CA
95817-2201

Practice Phone: 916-816-4268
Practice Fax:

1477268605 — JOSEPH HEYWARD GIBSON CRNA
Practice Location Address:

4301 X ST
SACRAMENTO, CA
95817-2214

Practice Phone: 916-734-2011
Practice Fax:

1366239451 — SHANTALLE LORILYNN DIAZ CRUZ M.D.
Practice Location Address:

UC DAVIS HEALTH DEPARTMENT OF PEDIATRICS , 2516 STOCKTON BOULEVARD
SACRAMENTO, CA
95817

Practice Phone: 916-734-3665
Practice Fax: 916-734-0342

1205636883 — LIESEL ALLISON LUCAS BACANI
Practice Location Address:

4301 X ST
SACRAMENTO, CA
95817-2214

Practice Phone: 916-731-2011
Practice Fax:

1598414203 — DR. ANDREW KEN STRIDIRON MD
Practice Location Address:

2516 STOCKTON BLVD DEPT OF
SACRAMENTO, CA
95817-2208

Practice Phone: 916-734-2428
Practice Fax:

1174508675 — DR. IVAN ROY SCHWAB M.D.
Practice Location Address:

4860 Y ST , SUITE 2400
SACRAMENTO, CA
95817-2307

Practice Phone: 916-734-6070
Practice Fax: 916-734-6992

Directions to “ DR. PAYTON ANNE GORE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.