Active NPI
Alden Gajo, M D
- Pediatrics Physician
- Palmdale, CA
National Provider Identifier
1306170972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A049002
- Practice address
- 627 West Ave Q
Suite D
Palmdale, CA 93551-4832 - Phone
- (661) 272-5656
- Fax
- (661) 272-0909
- NPI assigned
- Sep 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A049002 | CA | Primary |
Addresses
Primary practice location
627 West Ave Q
Suite D
Palmdale, CA 93551-4832
Mailing address
40226 Tesoro LN
Palmdale, CA 93551-4832
Phone (702) 219-1560
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160504002776 | CA | Practitioner - General Practice | 0244539724 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- High Desert Medical Corporation
Practice addresses (Care Compare)
43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49002 | CA | MD | Pharmacist |
| A049002 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Medical Group | Pediatrics | Current | Accepting new patients |
Locations
43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1306170972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40226 TESORO LN",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514832",
"telephone_number": "702-219-1560",
"fax_number": "661-266-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 WEST AVE Q",
"address_2": "SUITE D",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514832",
"telephone_number": "661-272-5656",
"fax_number": "661-272-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAJO",
"first_name": "ALDEN",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-29",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A049002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.