Provider Demographics
NPI:1972682011
Name:SACHER, GREGORY NEILL (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:NEILL
Last Name:SACHER
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 1:500 DOYLE PARK DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-4558
Mailing Address - Country:US
Mailing Address - Phone:707-303-1719
Mailing Address - Fax:707-387-3696
Practice Address - Street 1:500 DOYLE PARK DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-4558
Practice Address - Country:US
Practice Address - Phone:707-303-1719
Practice Address - Fax:707-387-3696
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68058207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A680580Medicaid
H45554Medicare UPIN
CA00A680580Medicaid