Gerald T Gostanian MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A22986 Issued in CA

Legal business name

GERALD T GOSTANIAN MD INC

Practice address

400 Newport Center Dr Ste 202a
Newport Beach, CA 92660-7680

Phone

(949) 640-4650

NPI assigned

Dec 22, 2011

Last updated

Dec 22, 2011By 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. Gerald Gostanian, MDNPI 1851491567

Title

Physician

Phone

(949) 640-4650

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Gerald T Gostanian, MD

  • Specialist
  • Newport Beach, CA
  • NPI 1851491567
  Authorized official Same address or phone

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1093084881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 202A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607680",
            "telephone_number": "949-640-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 202A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607680",
            "telephone_number": "949-640-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD T GOSTANIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "GOSTANIAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-640-4650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A22986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A22986",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.