Individual provider Active NPI

Alden Gajo, M D

  • Pediatrics Physician
  • Palmdale, CA
National Provider Identifier
1306170972
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A049002 Issued in CA
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

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 58 clinicians

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

LicenseStateTypeSpecialty
49002CAMDPharmacist
A049002CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Medical Group Pediatrics CurrentSince Mar 27, 2016 Accepting new patients

Locations

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.