Individual provider Active NPI

Mauricio Digenes Gaytan, M.D.

  • Pediatrics Physician
  • Reedley, CA
National Provider Identifier
1164654422
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G56203 Issued in CA
Practice address
1433 N Acacia Ave
Reedley, CA 93654-2102
Phone
(559) 391-3100
Fax
(559) 391-3102
NPI assigned
Aug 19, 2009
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G56203 CA Primary

Addresses

Primary practice location

1433 N Acacia Ave
Reedley, CA 93654-2102

Mailing address

1433 N Acacia Ave
Reedley, CA 93654-2102
Phone (559) 391-3100

Other names 1

  • Dr. Maurice Diogenes Gaytan Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G56203CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1164654422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N ACACIA AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542102",
            "telephone_number": "559-391-3100",
            "fax_number": "559-391-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N ACACIA AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542102",
            "telephone_number": "559-391-3100",
            "fax_number": "559-391-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYTAN",
        "first_name": "MAURICIO",
        "middle_name": "DIGENES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-19",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G56203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURICE",
            "last_name": "GAYTAN",
            "middle_name": "DIOGENES",
            "prefix": "DR.",
            "credential": "M.D, FAAP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reedley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.