Individual provider Active NPI

Dayan Kamal Gandhi, M.D, M.S

  • Nephrology Physician
  • Northridge, CA
National Provider Identifier
1285961789
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A114933 Issued in CA
Practice address
18433 Roscoe Blvd
202
Northridge, CA 91325-4108
Phone
(818) 349-1262
Fax
(818) 349-7529
NPI assigned
Nov 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A114933 CA Primary

Addresses

Primary practice location

18433 Roscoe Blvd
202
Northridge, CA 91325-4108

Mailing address

18433 Roscoe Blvd
202
Northridge, CA 91325-4108
Phone (818) 349-1262

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
I20140620000772 CA Practitioner - NephrologyPractitioner - Internal Medicine 6204050818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Georgetown University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Consultants Medical GroupGroup PAC ID 9335126010, 9 clinicians

Practice addresses (Care Compare)

18433 Roscoe Blvd
Suite 202
Northridge, CA 91325-4134
Phone (818) 349-1262

Hospital & facility affiliations

  • Woodland Hills Dialysis Dialysis facility, Woodland Hills, CA, CCN 752511
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114933CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Consultants Medical Group Nephrology CurrentSince Jul 1, 2014 Accepting new patients
Strawberry Creek Medical Group of California PC CurrentSince May 1, 2022 Accepting new patients
Dignity Community Care Past Accepting new patients
West Hills Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

10605 Balboa Blvd
Ste 240
Granada Hills, CA 91344
Phone (818) 366-3935

23928 Lyons Ave
Ste 105
Newhall, CA 91321
Phone (661) 254-0193

360 San Miguel Dr
Ste 409
Newport Beach, CA 92660
Phone (833) 880-7433

18433 Roscoe Blvd
Ste 106
Northridge, CA 91325
Phone (818) 435-8819

18433 Roscoe Blvd
Ste 202
Northridge, CA 91325
Phone (818) 349-1262

77 Moraga Way
Ste G
Orinda, CA 94563
Phone (833) 880-7433

227 W Janss Rd
Ste 210
Thousand Oaks, CA 91360
Phone (424) 333-1236

7301 Medical Center Dr
Ste 200
West Hills, CA 91307
Phone (818) 477-2337

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dgandhi61397@direct.acumenmd.com

Organizations & group practices 7

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

Hospital & facility affiliations 4

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1285961789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD",
            "address_2": "202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254108",
            "telephone_number": "818-349-1262",
            "fax_number": "818-349-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD",
            "address_2": "202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254108",
            "telephone_number": "818-349-1262",
            "fax_number": "818-349-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "DAYAN",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "M.D, M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A114933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.