What is Peter Gannon's NPI number?

Peter Gannon's National Provider Identifier (NPI) is 1275560286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Peter Gannon's specialty?

Peter Gannon is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Peter Gannon located?

Peter Gannon's practice location on file with NPPES is 545 E Cleveland St, Stockton, CA 95204-5535.

What is Peter Gannon's phone number?

The practice phone number listed in the NPPES registry for Peter Gannon is (209) 948-0205.

Is Peter Gannon's NPI active?

Yes — Peter Gannon's NPI (1275560286) is active in the NPPES registry as of the last update on 2010-08-04.

IndividualActive

Peter Gannon, MD

NPI 1275560286 · Specialist · Stockton, CA

Peter Gannon, MD is a Specialist provider in Stockton, CA (NPI 1275560286).

Provider details

NPI number: 1275560286
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: MD
Sex: Male
Sole proprietor: Yes
License: G25472 (CA)

Specialties & taxonomies

SpecialistPrimary174400000XLicense G25472 (CA)
Other Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

545 E Cleveland St

Suite B

Stockton, CA 95204-5535

Phone: (209) 948-0205

Fax: (209) 948-0245

Street-level locationGet directions

More CA providers

Mailing address