Gyanesh Agrawal, M.D.
Individual provider Active NPI Internal Medicine Physician · Lancaster, CA
NPI 1366587768 · NPPES record last updated Sep 30, 2020
Key facts
- NPI
- 1366587768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- C51785 (CA)
- Practice address
- 335 E Avenue I
Lancaster, CA 93535-1916 - Phone
- (661) 471-4000
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Los Angeles
Practice addresses (Care Compare)
335 E Ave I
Lancaster, CA 93535-1916
Phone (661) 471-4232
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090722000780 | CA | Practitioner - Internal Medicine | 9537211537 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51785 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles Auditor Controller | Current |
Accepting new patients | |
| County of Los Angeles | Current |
Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current |
Accepting new patients |
Locations
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244
123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325
44900 60th St W
Lancaster, CA 93536
Phone (661) 945-8413
335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C51785 | CA | Yes |
Addresses
Primary practice location
335 E Avenue I
Lancaster, CA 93535-1916
Mailing address
335 E Avenue I
Lancaster, CA 93535-1916
Phone (661) 471-4000
Other providers in Lancaster, CA
- Harihar P Agarwal
- Lousine Agasarkisian
- Beverly Kim Dizon Agni
- Natalene Agop
- Lara Agopian
- Diana Monserrat Aguila
- Dean Capili Aguilar
- Devin Rose Aguilar
- Janmick Obana Aguilar
- Melanie Daphne Aguilar
All providers in Lancaster, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.