Provider Demographics
NPI:1912976622
Name:SALGANICK-ERFANI, GAIL CELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:CELIA
Last Name:SALGANICK-ERFANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GAIL
Other - Middle Name:CELIA
Other - Last Name:SALGANICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 210724
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91921-0724
Mailing Address - Country:US
Mailing Address - Phone:619-623-4041
Mailing Address - Fax:619-830-4181
Practice Address - Street 1:180 PROMENADE CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2939
Practice Address - Country:US
Practice Address - Phone:305-866-7123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100016208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH56264Medicare UPIN