Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A174935 | CA |
Y | 208600000X | Surgeon | A174935 | CA |
N | 2086X0206X | Surgical Oncologist | A174935 | CA |
NPI | 1235404583 |
---|---|
Provider Name | Dr. Cameron Eric Gaskill |
First Address | Sacramento, CA 95817 |
Second Address | Sacramento, CA 95817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 30/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
402178401 | (05) | TX |
402178402 | CSHCN (MEDICAID) (01) | TX |
8LL639 | BCBS (01) | TX |