Organization Active NPI

Studebaker Medical Group

  • General Practice Physician
  • Norwalk, CA
National Provider Identifier
1013129964
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
STUDEBAKER MEDICAL GROUP
Practice address
13132 Studebaker Road
Suite 9
Norwalk, CA 90650-2575
Phone
(562) 863-1012
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Galal Gough, MD
Title
President
Phone
(714) 335-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

13132 Studebaker Road
Suite 9
Norwalk, CA 90650-2575

Mailing address

13132 Studebaker Road
Suite 9
Norwalk, CA 90650-2575
Phone (562) 863-1012

National Provider Directory

National Provider Directory

Locations

13132 Studebaker Rd
Ste 9
Norwalk, CA 90650
Phone (310) 929-0850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1013129964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 STUDEBAKER ROAD",
            "address_2": "SUITE 9",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502575",
            "telephone_number": "562-863-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 STUDEBAKER ROAD",
            "address_2": "SUITE 9",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502575",
            "telephone_number": "562-863-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDEBAKER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "GALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-335-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.