ALLEN GEORGE GRUBER M.D NPI 1689747602

NPI Information

NPI: 1689747602
Provider Name: ALLEN GEORGE GRUBER, M.D
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
4720 HOEN AVE
SANTA ROSA, CA
ZIP 95405
Phone: (707) 595-3122
Get Directions

Allen George Gruber, M.D is a pain medicine anesthesiology in Santa Rosa, CA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Allen George Gruber, M.D NPI is 1689747602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4720 HOEN AVE
SANTA ROSA, CA
ZIP 95405-867
Phone: (707) 595-3122
Fax: (707) 843-3102

The enumeration date for this NPI number is 11/16/2006 and was last updated on 3/7/2023.

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
1	207LP2900X	Anesthesiology	Pain Medicine	G55246	CALIFORNIA	Yes

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
1	00G552461	MEDICAID	CALIFORNIA
2	G55246	OTHER	CALIFORNIA	CA MEDICAL LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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