Provider Type Icon

GARY T. NAGAMOTO M.D. P.C. NPI 1558552554


NPI Information

NPI: 1558552554
Provider Name: GARY T. NAGAMOTO, M.D., P.C.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2450 E GUADALUPE RD
SUITE 103
GILBERT, AZ
ZIP 85234
Phone: (480) 857-3100
Get Directions

GARY T. NAGAMOTO, M.D., P.C. is a medical specialty clinic center in Gilbert, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GARY T. NAGAMOTO, M.D., P.C. NPI is 1558552554. The provider is registered as an organization entity type.

The provider's business location address is:

2450 E GUADALUPE RD
SUITE 103
GILBERT, AZ
ZIP 85234-116
Phone: (480) 857-3100
Fax: (480) 857-3884

The provider's authorized official is Gary Nagamoto .
The authorized official title is President and has the following contact phone number (480) 857-3100.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty17729ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E80473MEDICARE UPIN
21962477729OTHERARIZONANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.