Active NPI
Antonio Mejia Gancayco, M.D.
- Specialist
- Anaheim, CA
National Provider Identifier
1104843960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A50208
- Practice address
- 1164 N Euclid St
Anaheim, CA 92801-1900 - Phone
- (714) 778-0613
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A50208 | CA | Primary |
Addresses
Primary practice location
1164 N Euclid St
Anaheim, CA 92801-1900
Mailing address
1164 N Euclid St
Anaheim, CA 92801-1900
Phone (714) 778-0613
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50208 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Global Medical Center, Inc | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients | |
| Kids Care Pediatrics Medical Group, Inc. | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- Pediatric Hospice and Palliative Medicine Physician
- Anaheim, CA
- NPI 1881801835
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1104843960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011900",
"telephone_number": "714-778-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011900",
"telephone_number": "714-778-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANCAYCO",
"first_name": "ANTONIO",
"middle_name": "MEJIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A50208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.