Individual provider Active NPI

Guangqiang Gao, M.D

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pomona, CA
National Provider Identifier
1124322086
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A115654 Issued in CA
Practice address
1940 N Orange Grove Ave Ste B
Pomona, CA 91767-3002
Phone
(909) 865-9099
Fax
(909) 865-8439
NPI assigned
Jan 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A115654 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1940 N Orange Grove Ave Ste B
Pomona, CA 91767-3002

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130404000532 CA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 9335384833 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians
Synergy CT Surgery PartnershipGroup PAC ID 5698939957, 19 clinicians

Practice addresses (Care Compare)

1940 N Orange Grove Ave
Pomona, CA 91767-3002
Phone (909) 865-6900

901 San Bernardino Rd
Suite 102
Upland, CA 91786-4988
Phone (909) 579-6721

9190 Haven Ave
Rancho Cucamonga, CA 91730-5431
Phone (909) 581-6732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Orthopaedic Surgery Current Accepting new patients
Chaparral Medical Group, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2015 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Aug 1, 2015 Accepting new patients
Synergy CT Surgery Partnership Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 1, 2020 Accepting new patients
Chaparral Medical Group, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2015 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Chino Medical Group, Inc Past Accepting new patients
Primecare Medical Group Past Accepting new patients
Chaparral Medical Group Inc Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1940 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-8443

1866 N Orange Grove Ave
Ste 104
Pomona, CA 91767
Phone (909) 591-6414

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

160 E Artesia St
Ste 220
Pomona, CA 91767
Phone (909) 623-3428

1940 N Orange Grove Ave
Ste B
Pomona, CA 91767
Phone (909) 620-1974

1940 N Orange Grove Ave
Ste A
Pomona, CA 91767
Phone (909) 629-0444

840 Towne Center Dr
Pomona, CA 91767

9170 Haven Ave
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 467-8700

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

4500 Brockton Ave
Ste 317
Riverside, CA 92501
Phone (951) 367-0860

901 San Bernardino Rd
Ste 102
Upland, CA 91786
Phone (909) 579-6721

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1124322086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N ORANGE GROVE AVE STE B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673002",
            "telephone_number": "909-865-9099",
            "fax_number": "909-865-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "GUANGQIANG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A115654",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.