Provider Demographics
NPI:1962608356
Name:HAMPTON T GASKINS MD INC
Entity type:Organization
Organization Name:HAMPTON T GASKINS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMPTON
Authorized Official - Middle Name:T
Authorized Official - Last Name:GASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-994-7601
Mailing Address - Street 1:PO BOX 1368
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91785-1368
Mailing Address - Country:US
Mailing Address - Phone:909-944-7601
Mailing Address - Fax:
Practice Address - Street 1:2671 IOWA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2804
Practice Address - Country:US
Practice Address - Phone:951-784-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAZZZ26185Z174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty