Active NPI
Lawrence Robert Ghelfi, M.D.
- Surgery Physician
- Redding, CA
National Provider Identifier
1366530909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G71101
- Practice address
- 2644 Edith Ave
Redding, CA 96001-3030 - Phone
- (530) 339-1400
- Fax
- (530) 302-3623
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G71101 | CA | Primary |
Addresses
Primary practice location
2644 Edith Ave
Redding, CA 96001-3030
Mailing address
2644 Edith Ave
Redding, CA 96001-3043
Phone (530) 339-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2015 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71101 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bob Ghelfi MD PC | Past | Accepting new patients | |
| Northern California Surgical Group a Med Corp | Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1693/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Specialist
- Sacramento, CA
- NPI 1730413774
-
- Surgery Physician
- Redding, CA
- NPI 1376631606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1366530909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2644 EDITH AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960013043",
"telephone_number": "530-339-1400",
"fax_number": "530-302-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2644 EDITH AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960013030",
"telephone_number": "530-339-1400",
"fax_number": "530-302-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHELFI",
"first_name": "LAWRENCE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G71101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.