GILROY MEDICAL GROUP, INC (NPI# 1609430065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609430065 |
| Entity Type | Organization |
| Organization Name | GILROY MEDICAL GROUP, INC |
| Practice Address |
8833 Monterey Rd Ste H Gilroy CA 95020-7200 |
| Mailing Address |
2222 Lafayette St Santa Clara CA 95050-2904 |
| Practice Telephone | 4088421544 |
| Mailing Telephone | 4083070560 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | DR. DONALD SIAO (PRESIDENT) |
| Authorized Official Telephone | 4082060217 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
8833 MONTEREY RD STE H |
| City | GILROY |
| State | CA |
| Zip Code | 95020-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932364031 | Mittal Family Healthcare Inc | Family Medicine | 9360 No Name Uno, Suite 240, Gilroy, CA 95020-3540 | 2008-07-28 |
| 1013121334 | Martin Edward Vancil | Family Medicine | 8365 El Matador Drive, Gilroy, CA 95020-9417 | 2007-05-09 |
| 1497871883 | Direct Care Medical Clinic | Family Medicine | 7880 Wren Ave Ste C134, Gilroy, CA 95020-7801 | 2007-03-21 |
| 1518026681 | Catherine Storm Snively | Family Medicine | 7520 Arroyo Cir # 1, Gilroy, CA 95020-7303 | 2006-12-06 |
| 1184647059 | California Emergency Physicians Medical Group | Family Medicine | 8833 Monterey Rd, Suite H, Gilroy, CA 95020 | 2006-07-25 |
| 1366464901 | Kyoko Chiemi Pena-robles | Family Medicine | 7526 Monterey St, Gardner Health Center-gilory, Gilroy, CA 95020-5826 | 2006-07-24 |
| 1831119486 | Joseph C Barbara | Family Medicine | 7880 Wren Ave Ste C133, Gilroy, CA 95020-7801 | 2006-07-19 |
| 1407872187 | Lawrence Santiago Gamboa | Family Medicine | 10 Canterbury Pl, Gilroy, CA 95020-7295 | 2006-07-14 |
| 1679526578 | Gunjan Mittal | Family Medicine | 9360 No Name Uno, Suite 240, Gilroy, CA 95020 | 2006-05-19 |
| 1760468003 | Marshall Fay Williams | Family Medicine | 9460 N Name Uno, Suite 115, Gilroy, CA 95020-3537 | 2005-12-19 |
| Find all providers in GILROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.