Active NPI
I S Gujral MD
- Cardiovascular Disease Physician
- Laguna Hills, CA
National Provider Identifier
1336529148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A49536
- Legal business name
- I S GUJRAL MD
- Practice address
- 24953 Paseo de Valencia Ste 30a
Laguna Hills, CA 92653-4343 - Phone
- (949) 716-7981
- Fax
- (949) 716-7982
- NPI assigned
- Jun 5, 2015
- 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
- Nicolette Gonzalez
- Title
- Credentialing Manager
- Phone
- (951) 340-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A49536 | CA | Primary |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A49536 | CA |
Addresses
Primary practice location
24953 Paseo de Valencia Ste 30a
Laguna Hills, CA 92653-4343
Mailing address
18 Newcastle LN
Laguna Niguel, CA 92677-9327
Phone (949) 307-2315
Other practice location 1
9810 Park St
Bellflower, CA 90706-5936
Phone (562) 925-9558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Laguna Hills, CA
- NPI 1063416410
-
- Interventional Cardiology Physician
- Bellflower, CA
- NPI 1669486338
-
- Ophthalmology Physician
- Mission Viejo, CA
- NPI 1912928672
-
- Clinical Psychologist
- Laguna Hills, CA
- NPI 1548396112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658275200000",
"number": "1336529148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NEWCASTLE LN",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926779327",
"telephone_number": "949-307-2315",
"fax_number": "949-716-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA STE 30A",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534343",
"telephone_number": "949-716-7981",
"fax_number": "949-716-7982"
}
],
"practiceLocations": [
{
"address_1": "9810 Park St",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907065936",
"country_code": "US",
"telephone_number": "562-925-9558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "I S GUJRAL MD",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-05",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "NICOLETTE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "951-340-1000"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A49536",
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "A49536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.