Individual provider Active NPI

Chia-Ling Gau Kawakami, PH.D., ABMGG, NYCOQ,

  • Clinical Molecular Genetics Physician
  • Aliso Viejo, CA
National Provider Identifier
1043846728
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X
License
DRN-01002018 Issued in CA
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

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
DRN-01002018CAMDClinical Molecular Genetics Physician
GAUXC1NYMDClinical Molecular Genetics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambry Genetics Corporation PastSince Mar 22, 2020 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.

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.

Verify at the official NPI Registry.