Individual provider Active NPI

Gautam Ganguly, M.D.

  • Neurology Physician
  • Whittier, CA
National Provider Identifier
1215912522
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A69058 Issued in CA
Practice address
12291 Washington Blvd
303
Whittier, CA 90606-2500
Phone
(562) 698-6296
Fax
(562) 693-6752
NPI assigned
Dec 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A69058 CA Primary

Addresses

Primary practice location

12291 Washington Blvd
303
Whittier, CA 90606-2500

Mailing address

101 E Beverly Blvd
206
Montebello, CA 90640-4300
Phone (323) 725-7297

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000378 CA Practitioner - Neurology 0446444384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12291 E Washington Blvd
Suite 303
Whittier, CA 90606-3815

12291 Washington Blvd
Suite 303
Whittier, CA 90606-3815
Phone (562) 698-6296

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69058CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M & E Consulting, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Pih Health Physicians CurrentSince Jun 29, 2024 Accepting new patients
Pih Health Physicians CurrentSince Jun 29, 2024 Accepting new patients
Brian a Beck MD a Medical Corp Etal PTR Leonard a Gale MD Medical Corp CurrentSince Jul 15, 2002 Accepting new patients
Pih Health Physicians Current Accepting new patients
Richard a. Rison, M.D., Inc. CurrentSince Jul 15, 2002 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

101 E Beverly Blvd
Ste 206
Montebello, CA 90640
Phone (323) 725-7297

12291 Washington Blvd
Ste 303
Whittier, CA 90606
Phone (562) 698-6296

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gautamganguly@pihh.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beverly Community Hospital AssociationMontebello, CA, CCN 050350 Hospital Corporate Director Jan 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215912522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "206",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-725-7297",
            "fax_number": "323-725-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD",
            "address_2": "303",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-698-6296",
            "fax_number": "562-693-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGULY",
        "first_name": "GAUTAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A69058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.