Organization Active NPI

Ray Gokaldas MD a Professional Corporation

  • Specialist
  • Norwalk, CA
National Provider Identifier
1396153425
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A29886 Issued in CA
Legal business name
RAY GOKALDAS MD A PROFESSIONAL CORPORATION
Practice address
12820 Studebaker Rd
Suite # 201
Norwalk, CA 90650-2578
Phone
(562) 863-4951
Fax
(562) 929-8122
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Dr. Ray Gokaldas, M.D.
Title
President
Phone
(562) 863-4951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A29886 CA Primary

Addresses

Primary practice location

12820 Studebaker Rd
Suite # 201
Norwalk, CA 90650-2578

Mailing address

12820 Studebaker Rd
Suite # 201
Norwalk, CA 90650-2578
Phone (562) 863-4951

Other identifiers 1

IdentifierTypeStateIssuer
00A298860MedicaidCA

National Provider Directory

National Provider Directory

Locations

12820 Studebaker Rd
Ste 201
Norwalk, CA 90650
Phone (310) 863-4951

12820 Studebaker Rd
Ste 20
Norwalk, CA 90650
Phone (562) 863-4951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1396153425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 STUDEBAKER RD",
            "address_2": "SUITE # 201",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502578",
            "telephone_number": "562-863-4951",
            "fax_number": "562-929-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 STUDEBAKER RD",
            "address_2": "SUITE # 201",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502578",
            "telephone_number": "562-863-4951",
            "fax_number": "562-929-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY GOKALDAS MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "GOKALDAS",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-863-4951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A29886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A298860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.