Provider Demographics
NPI:1316782477
Name:GASTON, TODD ANDREW
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:ANDREW
Last Name:GASTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8286 MERCER WAY
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-2711
Mailing Address - Country:US
Mailing Address - Phone:916-844-7410
Mailing Address - Fax:916-844-7326
Practice Address - Street 1:8131 TREECREST AVE, GASTON COMMUNITIES #1
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-2737
Practice Address - Country:US
Practice Address - Phone:916-844-7410
Practice Address - Fax:916-844-7326
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No372600000XNursing Service Related ProvidersAdult Companion
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist