Active NPI
Abdollah Gilani, MD
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1306929708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C39975
- Practice address
- 3392 Motor Ave
Los Angeles, CA 90034-3712 - Phone
- (310) 202-1133
- Fax
- (310) 202-1139
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C39975 | CA | Primary |
Addresses
Primary practice location
3392 Motor Ave
Los Angeles, CA 90034-3712
Mailing address
3392 Motor Ave
Los Angeles, CA 90034-3712
Phone (310) 858-5090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C399750 | Medicaid | CA |
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 |
|---|---|---|---|---|
| I20101109001019 | CA | Practitioner - General Surgery | 2769677392 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39975 | CA | MD | Dentist |
| C39975 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1306929708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3392 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343712",
"telephone_number": "310-858-5090",
"fax_number": "310-424-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3392 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343712",
"telephone_number": "310-202-1133",
"fax_number": "310-202-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILANI",
"first_name": "ABDOLLAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C39975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C399750",
"state": "CA"
}
],
"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 Apr 15, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.