Gary E Ford M.D.,(a Professional Corporation)

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G36302 Issued in CA

Legal business name

GARY E FORD M.D.,(A PROFESSIONAL CORPORATION)

Practice address

1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90249-4128

Phone

(310) 329-8633

Fax

(408) 418-4605

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Eugene Ford, M.D.NPI 1780634022

Title

President

Phone

(310) 382-8633

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary E Ford, M.D.

  • Otolaryngology Physician
  • Gardena, CA
  • NPI 1780634022
  Medicare reassignment Care Compare group NPD Authorized official
• Nobel Lin, PA

  • Specialist
  • Gardena, CA
  • NPI 1427072453
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1336324805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 575",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494128",
            "telephone_number": "310-329-8633",
            "fax_number": "310-329-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 575",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494128",
            "telephone_number": "310-329-8633",
            "fax_number": "408-418-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY E FORD M.D.,(A PROFESSIONAL CORPORATION)",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-382-8633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G36302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G36302",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G363021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilia Elizabeth Garibay
• Joseph Henry Garland III, MBA
• Sheretta Garlington
• Cheryl Lyn Garnica, M.A., LMFT
• Ashley Garris
• Alyssa Garza
• Karla Noemi Gasca
• Camille Gastelum
• Desirae Y Gastelum
• Gates to Independence LLC

• Otolaryngology Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.

Verify at the official NPI Registry.