Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lance Gator Gault, DO

Individual provider Family Medicine Physician · NPI 1164615811

Lance Gator Gault, DO is a Family Practice in Clovis, California. Graduated from College of Osteo Med of the Pacific at Pomona in 2006, 20 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
CA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2740 Herndon Ave
Clovis, CA 93611-6813
Phone: (559) 299-2608
Fax: (559) 299-1341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A10128 (CA)

Record details

NPI number1164615811
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 24, 2007
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address2740 Herndon Ave, Clovis, CA 93611-6813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 2006 (20 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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