Active NPI
Chia-Ling Gau Kawakami, PH.D., ABMGG, NYCOQ,
- Clinical Molecular Genetics Physician
- Aliso Viejo, CA
National Provider Identifier
1043846728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Molecular Genetics Physician
- License
- DRN-01002018
- Practice address
- 15 Argonaut
Aliso Viejo, CA 92656-1423 - Phone
- (949) 900-5514
- NPI assigned
- Mar 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Molecular Genetics Physician | 207SG0203X | GAUXC1 | NY | |
| Clinical Molecular Genetics Physician | 207SG0203X | DRN-01002018 | CA | Primary |
Addresses
Primary practice location
15 Argonaut
Aliso Viejo, CA 92656-1423
Mailing address
15 Argonaut
Aliso Viejo, CA 92656-1423
Phone (949) 900-5514
Other names 1
- Chia-Ling Gau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRN-01002018 | CA | MD | Clinical Molecular Genetics Physician |
| GAUXC1 | NY | MD | Clinical Molecular Genetics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambry Genetics Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Aliso Viejo, CA
- NPI 1861568784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1043846728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ARGONAUT",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561423",
"telephone_number": "949-900-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ARGONAUT",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561423",
"telephone_number": "949-900-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWAKAMI",
"first_name": "CHIA-LING",
"middle_name": "GAU",
"credential": "PH.D., ABMGG, NYCOQ,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-13",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "NY",
"license": "GAUXC1",
"primary": false
},
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "CA",
"license": "DRN-01002018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHIA-LING",
"last_name": "GAU",
"credential": "PH.D., ABMGG, NYCOQ",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.