GERMAN BADILLA GORDOVE RN PCCN AGACNP-BC NPI 1932937174

NPI Information

  • NPI: 1932937174
  • Provider Name: GERMAN BADILLA GORDOVE, RN, PCCN, AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2315 STOCKTON BLVD
    SACRAMENTO, CA
    ZIP 95817
  • Phone: (916) 734-5590

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NPI Details

German Badilla Gordove, RN, PCCN, AGACNP-BC is an acute care nurse practitioner in Sacramento, CA with 1 years of experience. German Badilla Gordove, RN, PCCN, AGACNP-BC NPI is 1932937174. 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:

2315 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817-201
Phone: (916) 734-5590

The NPI 1932937174 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 7/22/2024 and was last updated on 9/17/2024.

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
1363LG0600XNurse PractitionerGerontology95030128CALIFORNIANo
2363LA2100XNurse PractitionerAcute Care95030128CALIFORNIAYes

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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