Active NPI
Gardena Surgical Inc a Medical
- Specialist
- Gardena, CA
National Provider Identifier
1326173022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G80873
- Legal business name
- GARDENA SURGICAL INC A MEDICAL
- Practice address
- 1141 W Redondo Beach Blvd
Ste 202
Gardena, CA 90247-3586 - Phone
- (310) 523-3570
- Fax
- (310) 523-4054
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arthur H Fox, M.D.
- Title
- Surgeon
- Phone
- (310) 523-3570
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G80873 | CA | Primary |
Addresses
Primary practice location
1141 W Redondo Beach Blvd
Ste 202
Gardena, CA 90247-3586
Mailing address
1141 W Redondo Beach Blvd
Ste 202
Gardena, CA 90247-3586
Phone (310) 523-3570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G808730 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1141 W Redondo Beach Blvd
Ste 202
Gardena, CA 90247
Phone (310) 523-3570
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Gardena, CA
- NPI 1730160714
-
- Otolaryngology Physician
- Thomasville, GA
- NPI 1386656593
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428624000000",
"number": "1326173022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 W REDONDO BEACH BLVD",
"address_2": "STE 202",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473586",
"telephone_number": "310-523-3570",
"fax_number": "310-523-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 W REDONDO BEACH BLVD",
"address_2": "STE 202",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473586",
"telephone_number": "310-523-3570",
"fax_number": "310-523-4054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDENA SURGICAL INC A MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2015-04-10",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "310-523-3570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G80873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G808730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.