David J Gajda, MD, a Professional Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION

Doing business as

Eye Life Institue ASC

Practice address

6283 Clark Rd
#11
Paradise, CA 95969-4100

Phone

(530) 877-2020

Fax

(530) 877-4641

NPI assigned

Jul 26, 2006

Last updated

Jan 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David J Gajda, MDNPI 1396839395

Title

Owner/President

Phone

(530) 877-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EYE LIFE INSTITUE ASC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Jeffery Gajda, M.D.

  • Ophthalmology Physician
  • Paradise, CA
  • NPI 1396839395
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1073536215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD",
            "address_2": "#10",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-877-2020",
            "fax_number": "530-877-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD",
            "address_2": "#11",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-877-2020",
            "fax_number": "530-877-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "GAJDA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "530-877-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ51128Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ51128Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE LIFE INSTITUE ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah Damazo, RN, MSN, CPNP
• Elizabeth Ann Daniels, RD
• Amy Datema
• David J Gajda MD a Professional Corporation
• David J Gajda MD a Professional Corporation (Eye Life Institute)
• David J Gajda, MD, a Professional Corporation
• David W. Gillett D.M.D., Inc.
• Richard Leslie Davies, M.D.
• Diane Burke Davis, LCSW
• Richard Michael Day, LCSW

• Ambulatory Surgical Clinic/Center in Paradise, CA
• Providers in Paradise, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.