Dr. Gordon T Ma
General Practice Physician
1459 Fernwood St
West Sacramento
, California 95691-3626
Dr. Gordon T Ma
General Practice Physician
1459 Fernwood St
West Sacramento
, California 95691-3626
(916) 371-4222
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Gordon T Ma
- 1459 Fernwood St
- West Sacramento, CA
- Zip : 95691-3626
- Phone : (916) 371-4222
Second Address
- Dr. Gordon T Ma
- 1459 Fernwood St
- West Sacramento, CA
- Zip : 95691-3626
- Phone : (916) 371-4222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | AFE18861 | CA |
National Provider Identifier
| NPI | 1023354826 |
|---|---|
| Provider Name | Dr. Gordon T Ma |
| First Address | West Sacramento, CA 95691-3626 |
| Second Address | West Sacramento, CA 95691-3626 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/12/2012 |
| Last Update Date | 25/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A21492 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.