CALVIN LI GAO MD NPI 1134689912

NPI Information

  • NPI: 1134689912
  • Provider Name: CALVIN LI GAO, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1465 S GRAND BLVD
    SAINT LOUIS, MO
    ZIP 63104
  • Phone: (314) 577-5360

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NPI Details

Calvin Li Gao, MD is a pediatric emergency medicine pediatrics in Saint Louis, MO with 6 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Calvin Li Gao, MD NPI is 1134689912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 577-5360

The NPI 1134689912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 4/19/2024.

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
12080P0204XPediatricsPediatric Emergency Medicine2022013317MISSOURIYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 3/30/2025

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