Active NPI
Anshul Gandhi, MD
- Emergency Medicine Physician
- Deerfield Beach, FL
National Provider Identifier
1396177564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A140220
- Practice address
- 401 Fairway Dr Ste 200
Deerfield Beach, FL 33441-1800 - Phone
- (714) 696-1264
- NPI assigned
- Jul 30, 2013
- Reactivated
- Dec 9, 2021
- Last updated
- Oct 4, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | S4141 | TX | |
| Emergency Medicine Physician | 207P00000X | A140220 | CA | Primary |
Addresses
Primary practice location
401 Fairway Dr Ste 200
Deerfield Beach, FL 33441-1800
Mailing address
506 S Spring St Unit 13308
Los Angeles, CA 90013-3215
Phone (714) 696-1264
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- aghandi208140@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1396177564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 S SPRING ST UNIT 13308",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900133215",
"telephone_number": "714-696-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 FAIRWAY DR STE 200",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411800",
"telephone_number": "714-696-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "ANSHUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-30",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"deactivation_date": "2021-06-04",
"reactivation_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "S4141",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A140220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.