NPIMap

Organization Active NPI

Brian K Gamble, M.D. Inc.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1245300649
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A76121 Issued in CA
Legal business name
BRIAN K GAMBLE, M.D. INC.
Practice address
3460 Wilshire Blvd
Ste 1000
Los Angeles, CA 90010-2206
Phone
(213) 487-3845
Fax
(213) 487-6259
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Brian K Gamble
Title
President
Phone
(213) 487-3845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A76121 CA Primary

Addresses

Primary practice location

3460 Wilshire Blvd
Ste 1000
Los Angeles, CA 90010-2206

Mailing address

3460 Wilshire Blvd
Ste 1000
Los Angeles, CA 90010-2206
Phone (213) 487-3845

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1245300649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 WILSHIRE BLVD",
            "address_2": "STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102206",
            "telephone_number": "213-487-3845",
            "fax_number": "213-487-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WILSHIRE BLVD",
            "address_2": "STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102206",
            "telephone_number": "213-487-3845",
            "fax_number": "213-487-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K GAMBLE, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-487-3845"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A76121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.