Organization Active NPI

Gary M Nemhauser MD Inc a Professional Corporation

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1174890594
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G8882 Issued in CA
Legal business name
GARY M NEMHAUSER MD INC A PROFESSIONAL CORPORATION
Practice address
3771 Katella Ave
Suite #108
Los Alamitos, CA 90720-3108
Phone
(562) 598-4454
Fax
(562) 799-0750
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Gary Nemhauser, M.D.
Title
President
Phone
(562) 598-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G8882 CA Primary

Addresses

Primary practice location

3771 Katella Ave
Suite #108
Los Alamitos, CA 90720-3108

Mailing address

3771 Katella Ave
Suite #108
Los Alamitos, CA 90720-3108
Phone (562) 598-4454

Other identifiers 1

IdentifierTypeStateIssuer
G8882OtherCANPI

National Provider Directory

National Provider Directory

Locations

3771 Katella Ave
Ste 108
Los Alamitos, CA 90720
Phone (562) 508-4103

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1174890594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 KATELLA AVE",
            "address_2": "SUITE #108",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203108",
            "telephone_number": "562-598-4454",
            "fax_number": "562-799-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 KATELLA AVE",
            "address_2": "SUITE #108",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203108",
            "telephone_number": "562-598-4454",
            "fax_number": "562-799-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M NEMHAUSER MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "NEMHAUSER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-598-4454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G8882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "G8882",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.