Individual provider Active NPI

Ernesto P Gidaya, MD

  • Anesthesiology Physician
  • Anaheim, CA
National Provider Identifier
1003873522
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A38770 Issued in CA
Practice address
1111 W la Palma Ave
Anaheim, CA 92801-2804
Phone
(714) 774-1450
Fax
(714) 710-7741
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A38770 CA Primary

Addresses

Primary practice location

1111 W la Palma Ave
Anaheim, CA 92801-2804

Mailing address

1211 W la Palma Ave Ste 209
Anaheim, CA 92801-2802
Phone (714) 710-7731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070329000656 CA Practitioner - Anesthesiology 1052415437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Specialists of Orange County IncGroup PAC ID 9830289388, 16 clinicians

Practice addresses (Care Compare)

1111 W la Palma Ave
Anaheim, CA 92801-2804
Phone (714) 774-1450

Hospital & facility affiliations

  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Orange County, Inc. Anesthesiology CurrentSince Oct 1, 2007 Accepting new patients
Gary Chinghuei Kao MD Inc Anesthesiology Past Accepting new patients
Pacwest Anesthesia Medical Group, Inc Anesthesiology PastSince Jul 1, 2005 Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

1211 W La Palma Ave
Ste 209
Anaheim, CA 92801
Phone (714) 398-8180

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

875 N Brea Blvd
Brea, CA 92821
Phone (714) 529-6842

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

200 Hospital Cir
Westminster, CA 92683
Phone (714) 386-9043

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470528000000",
    "number": "1003873522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 209",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012802",
            "telephone_number": "714-710-7731",
            "fax_number": "714-710-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012804",
            "telephone_number": "714-774-1450",
            "fax_number": "714-710-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDAYA",
        "first_name": "ERNESTO",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A38770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.