Individual provider Active NPI

Gayatri Subedi, NP

  • Family Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1043356173
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0510392303 Issued in NH
Practice address
1771 W Romneya Dr. Ste C
Anaheim, CA 98201
Phone
(714) 758-0403
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0510392303 NH Primary

Addresses

Primary practice location

1771 W Romneya Dr. Ste C
Anaheim, CA 98201

Mailing address

1771 W.Rpmneya Dr, Ste C
Anaheim, CA 92801
Phone (714) 758-0403

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000650 CA Practitioner - Nurse Practitioner 6204931991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0510392303NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive and Liver Diseases Specialists, a Medical Group Inc. CurrentSince Apr 6, 2011 Accepting new patients
Digestive and Liver Disease Specialists a Medical Group Inc CurrentSince Apr 6, 2011 Accepting new patients
Ipc Hospitalists of New England, P.C. Family Past Accepting new patients

Locations

1771 W Romneya Dr
Ste C
Anaheim, CA 92801
Phone (714) 520-3000

11922 Seacrest Dr
Ste A
Garden Grove, CA 92840
Phone (714) 636-9100

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1043356173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 W.RPMNEYA DR, STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-758-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 W ROMNEYA DR. STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "98201",
            "telephone_number": "714-758-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBEDI",
        "first_name": "GAYATRI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "0510392303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.