Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | G39320 | CA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | G39320 | CA |
NPI | 1851317341 |
---|---|
Provider Name | Dr. Vincent A Gaudiani |
First Address | Los Altos, CA 94022-1408 |
Second Address | Mountain View, CA 94040-4124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 19/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G393200 | (05) | CA |
A47783 | (02) | CA |
CP2153 | RAILROAD MEDICARE (01) | CA |
GR0052800 | (05) | CA |