Gizella Sheila Laksana, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A103703 Issued in CA

Practice address

2710 Middlefield Rd
Redwood City, CA 94063-3404

Phone

(650) 578-7141

Fax

(650) 298-6881

NPI assigned

Nov 15, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: glaksana19853@smch.direct-ci.com

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1184878258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 MIDDLEFIELD RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633404",
            "telephone_number": "650-578-7141",
            "fax_number": "650-298-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 MIDDLEFIELD RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633404",
            "telephone_number": "650-578-7141",
            "fax_number": "650-298-6881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Willow Rd",
            "address_2": "Building 334",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940252539",
            "country_code": "US",
            "telephone_number": "650-599-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKSANA",
        "first_name": "GIZELLA",
        "middle_name": "SHEILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-15",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A103703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Khanh Lai, PHARMD
• Raymond S. Lai, DO
• Johnny Laim, PHARM D
• Gary Laird, PHARMD
• Stacey Barnett Lakin
• Alamelu M. Lakshmanan, MD
• Jonathan Lam, M.D., PH.D.
• Kimmylou Lam
• Tai Ning Lam, PHARMD
• Jeffrey David Lamb, D.D.S.

• Pediatrics Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.