Sandra Dee Luke Girgis

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4002 W 179TH St
Torrance, CA 90504-3732

Phone

(310) 975-4982

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Loma Linda University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• J Robert West, M.D., Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment Care Compare group NPD
• Wu Enterprise Inc.

  • Procedural Dermatology Physician
  • Long Beach, CA
  • NPI 1881352581
  Medicare reassignment
• Douglas K Ulmer MD, a Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Long Beach, CA
  • NPI 1841233624
  NPD
• James Wu MD Inc

  • Dermatology Physician
  • Hawthorne, CA
  • NPI 1134785785
  NPD
• Bristol Park Medical Group, Inc

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1043266760
  NPD (past)

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1124775614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 W 179TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 W 179TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043732",
            "telephone_number": "310-975-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "SANDRA DEE",
        "middle_name": "LUKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginelle Guckenburg Marriage & Family Inc.
• Emily Anne Ginn, MD
• Kaitlyn Jill Ginoza
• Gregory T Ginsburg, M.D.
• Courtney L. Ginter, PT
• Gayathri Giridharan
• Bazin Girma X
• Eneyew Girma, MA
• Cory Girod, B.A.
• Brissa Giron

• Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.