Organization Active NPI

John F Gebhard MD a Professional Corporation

  • Dermatopathology Physician
  • Redondo Beach, CA
National Provider Identifier
1134327349
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
G27106 Issued in CA
Legal business name
JOHN F GEBHARD MD A PROFESSIONAL CORPORATION
Practice address
217 Avenida del Norte
Redondo Beach, CA 90277-5702
Phone
(310) 540-7546
Fax
(310) 540-1056
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
John F Gebhard, M.D.
Title
Owner
Phone
(310) 540-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X G27106 CA Primary

Addresses

Primary practice location

217 Avenida del Norte
Redondo Beach, CA 90277-5702

Mailing address

217 Avenida del Norte
Redondo Beach, CA 90277-5702
Phone (310) 540-7546

National Provider Directory

National Provider Directory

Locations

217 Avenida del Norte
Redondo Beach, CA 90277
Phone (213) 540-7546

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1134327349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 AVENIDA DEL NORTE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775702",
            "telephone_number": "310-540-7546",
            "fax_number": "310-540-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 AVENIDA DEL NORTE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775702",
            "telephone_number": "310-540-7546",
            "fax_number": "310-540-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F GEBHARD MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "GEBHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-540-7546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G27106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.