Active NPI
Alexander Oshiro Gong, MD
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A166216
- 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
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 |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Pih Health Hospital-Whittier
- Torrance Memorial Medical Center
- Pih Health Downey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A166216 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | 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
- 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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Internal Medicine
-
- Interventional Cardiology Physician
- Rancho Cucamonga, CA
- NPI 1225798127
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
Internal Medicine
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1285717728
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- Home Health Agency
- La Mirada, CA
- NPI 1649275868
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.