Provider Demographics
NPI:1780795203
Name:GEAR, EARL V (MD)
Entity type:Individual
Prefix:
First Name:EARL
Middle Name:V
Last Name:GEAR
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 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20167207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000810345494OtherPHCS
CA1201144OtherCIGNA
CA817092OtherUNITED HEALTHCARE
CA90026123OtherPACIFICARE
CA1061891OtherFIRST HEALTH
CA1089865OtherGREAT WEST
CA7125OtherINTERPLAN
CA4507647OtherAETNA
CA005652OtherHEALTH NET
CA00G201670OtherBLUE SHIELD
CA00G201670Medicaid
CAG20167OtherBLUE CROSS
CAMCMG169500OtherWESTERN HEALTH ADVANTAGE
CAMCMG169500OtherWESTERN HEALTH ADVANTAGE
CA00G201670Medicaid