Active NPI
Vijay Gyan, M.D.
- General Practice Physician
- South Gate, CA
National Provider Identifier
1396019386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A32197
- Practice address
- 9845 San Vincente Ave.
Apt. 8
South Gate, CA 90280-4840 - Phone
- (323) 479-2422
- Fax
- (323) 111-1111
- NPI assigned
- Mar 8, 2012
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A32197 | CA | Primary |
Addresses
Primary practice location
9845 San Vincente Ave.
Apt. 8
South Gate, CA 90280-4840
Mailing address
9845 San Vincente Ave.
Apt. 8
South Gate, CA 90280-4840
Phone (323) 479-2422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32197 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1396019386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9845 SAN VINCENTE AVE.",
"address_2": "APT. 8",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902804840",
"telephone_number": "323-479-2422",
"fax_number": "323-111-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9845 SAN VINCENTE AVE.",
"address_2": "APT. 8",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902804840",
"telephone_number": "323-479-2422",
"fax_number": "323-111-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GYAN",
"first_name": "VIJAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A32197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.