Individual provider Active NPI

Alexander Oshiro Gong, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1346784865
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A166216 Issued in CA
Practice address
1200 N State St.
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Phone
(323) 409-7556
NPI assigned
Dec 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A166216 CA Primary

Addresses

Primary practice location

1200 N State St.
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029

Mailing address

1200 N State St.
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Phone (323) 409-7556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210721000188 CA Practitioner - HospitalistPractitioner - Internal Medicine 4082044797 Reassigns benefits to 2 organizations
I20250206002582 OR Practitioner - Internal Medicine 4082044797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
The Regents of the University of CaliforniaGroup PAC ID 1355248584, 1,426 clinicians

Practice addresses (Care Compare)

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

Hospital & facility affiliations

  • Presbyterian Intercommunity Hospital Home Health Home health agency, La Mirada, CA, CCN 057187
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A166216CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
The Regents of the University of California CurrentSince Sep 1, 2021 Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Jan 17, 2025 Accepting new patients
Pih Health Physicians CurrentSince May 30, 2025 Accepting new patients
Pih Health Physicians CurrentSince May 30, 2025 Accepting new patients
Pih Health Physicians Current Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

File 55737
Los Angeles, CA 90074

757 Westwood Plz
Ste 7501
Los Angeles, CA 90095
Phone (310) 267-9643

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

1250 16th St
Ste C2304
Santa Monica, CA 90404
Phone (424) 259-6000

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

685 N 13th Ave
Ste 9
Upland, CA 91786
Phone (909) 949-3977

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: agong915566@direct.uclahealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1346784865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST.",
            "address_2": "CLINIC TOWER, SUITE A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-409-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST.",
            "address_2": "CLINIC TOWER, SUITE A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-409-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "ALEXANDER",
        "middle_name": "OSHIRO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-19",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A166216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.