Provider Demographics
NPI:1376598474
Name:GAENSLER, ERIK (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:
Last Name:GAENSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 OAK GROVE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2536
Mailing Address - Country:US
Mailing Address - Phone:925-296-7150
Mailing Address - Fax:925-296-7171
Practice Address - Street 1:2125 OAK GROVE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2536
Practice Address - Country:US
Practice Address - Phone:925-296-7150
Practice Address - Fax:925-296-7171
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG566512085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G5665116Medicare PIN
CA00G5665120Medicare PIN
CA00G566518Medicare PIN
CA300034869Medicare PIN
CA00G566510Medicare PIN
CA00G5665100Medicare PIN
CA00G5665114Medicare PIN
CA00G5665117Medicare PIN
CA00G5665118Medicare PIN
CA00G566512Medicare PIN
CA00G566514Medicare PIN
CA300104825Medicare PIN
CA00G566511Medicare PIN
CA00G5665119Medicare PIN
CA00G5665115Medicare PIN
CA00G566513Medicare PIN
CA00G566516Medicare PIN
CA00G5665111Medicare PIN
CA00G566515Medicare PIN
CA00G566517Medicare PIN
CAE67210Medicare UPIN
CA00G566519Medicare PIN
CA00G5665110Medicare PIN
CA00G5665112Medicare PIN
CA300082362Medicare PIN