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JACK E FISHER DPM INC NPI 1780794644


NPI Information

NPI: 1780794644
Provider Name: JACK E FISHER DPM INC

Doing Business As: GAVILAN FOOT CARE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
80 5TH ST
GILROY, CA
ZIP 95020
Phone: (408) 842-0281
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JACK E FISHER DPM INC is a foot and ankle surgery podiatrist in Gilroy, CA. JACK E FISHER DPM INC NPI is 1780794644. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gavilan Foot Care.

The provider's business location address is:

80 5TH ST
GILROY, CA
ZIP 95020-702
Phone: (408) 842-0281
Fax: (408) 848-4341

The provider's authorized official is Jack Fisher .
The authorized official title is Owner/physician and has the following contact phone number (408) 842-0281.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/27/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE1702CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11629072392OTHERCALIFORNIAINDIVIDUAL NPI
2E1702OTHERCALIFORNIALICENSE
3000E17020MEDICARE PINCALIFORNIA
4T11034MEDICARE UPINCALIFORNIA
50963550001MEDICARE NSCCALIFORNIA
61780794644OTHERCALIFORNIAGROUP NPI
7ZZZ43829ZMEDICARE PINCALIFORNIA

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: 11/14/2023

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