Organization Active NPI

David J Gajda MD a Professional Corporation

  • Ophthalmology Physician
  • Paradise, CA
National Provider Identifier
1104199629
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G88865 Issued in CA
Legal business name
DAVID J GAJDA MD A PROFESSIONAL CORPORATION
Practice address
5889 Clark Rd
Paradise, CA 95969-4861
Phone
(530) 877-2020
Fax
(530) 877-4641
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. David Jeffery Gajda, MD
Title
Owner
Phone
(530) 877-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X G88865 CA Primary

Addresses

Primary practice location

5889 Clark Rd
Paradise, CA 95969-4861

Mailing address

5889 Clark Rd
Paradise, CA 95969-4861
Phone (530) 877-2020

Other practice location 1

6283 Clark Rd
suite # 10
Paradise, CA 95969-4100
Phone (530) 877-2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1104199629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 CLARK RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694861",
            "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": "5889 CLARK RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694861",
            "telephone_number": "530-877-2020",
            "fax_number": "530-877-4641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6283 Clark Rd",
            "address_2": "suite # 10",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959694100",
            "country_code": "US",
            "telephone_number": "530-877-2020",
            "fax_number": "530-877-4641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID J GAJDA MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GAJDA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-877-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G88865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.