Individual provider Active NPI

Douglas R Gadowski, MD

  • Cardiovascular Disease Physician
  • Valencia, CA
National Provider Identifier
1013911460
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A22057 Issued in CA
Practice address
25775 McBean Pkwy
Ste 105
Valencia, CA 91355-3702
Phone
(661) 255-2410
Fax
(661) 255-8671
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A22057 CA Primary

Addresses

Primary practice location

25775 McBean Pkwy
Ste 105
Valencia, CA 91355-3702

Mailing address

25775 McBean Pkwy
Ste 105
Valencia, CA 91355-3702
Phone (661) 255-2410

Other names 1

  • Dr. Douglas R Gadowski MD Inc Professional name

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
I20081110000298 CA Practitioner - Cardiovascular Disease (Cardiology) 6901965631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A22057CAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1013911460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25775 MCBEAN PKWY",
            "address_2": "STE 105",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553702",
            "telephone_number": "661-255-2410",
            "fax_number": "661-255-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 MCBEAN PKWY",
            "address_2": "STE 105",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553702",
            "telephone_number": "661-255-2410",
            "fax_number": "661-255-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOWSKI",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A22057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "GADOWSKI MD INC",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.