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DWIGHT DAVID GAGGERO MD
NPI 1366433153
Emergency Medicine in San Mateo, CA

Active since November 02, 2005
3460 GLENDORA DR, SAN MATEO, CA 94403(650) 759-2687(650) 572-9654 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dwight David Gaggero Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DWIGHT DAVID GAGGERO MD (NPI 1366433153) is an individual emergency medicine provider in San Mateo, California, licensed in California (G58937) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1366433153
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDWIGHT DAVID GAGGEROCredential: MD
Location Address3460 GLENDORA DRSan Mateo, CA 94403-3943
Mailing Address3460 Glendora DrSan Mateo, CA 94403-3943 · (650) 759-2687 · Fax (650) 572-9654
Phone(650) 759-2687
Fax(650) 572-9654
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1366433153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G58937
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3460 GLENDORA DR, San Mateo, CA 94403
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Other Identifiers 2

Medicaid00G589370CA
Other00G589370CA · Blue Shield

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwight Gaggero's NPI number?

The NPI number for Dwight Gaggero is 1366433153. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Dwight Gaggero located?

Dwight Gaggero practices at 3460 Glendora Dr, San Mateo, CA 94403. The listed phone number is (650) 759-2687.

What is Dwight Gaggero's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Dwight Gaggero was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.