Individual provider Active NPI

Gunjeet K Kala Ahluwalia, M.D.

  • Pediatrics Physician
  • Fullerton, CA
National Provider Identifier
1427288588
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A117446 Issued in CA
Practice address
220 Laguna Rd Ste 5
Fullerton, CA 92835-2523
Phone
(714) 879-2980
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A117446 CA Primary
Pediatrics Physician 208000000X 04-34474 KS

Addresses

Primary practice location

220 Laguna Rd Ste 5
Fullerton, CA 92835-2523

Mailing address

220 Laguna Rd Ste 5
Fullerton, CA 92835-2523
Phone (714) 879-2980

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
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117446CAMDPediatrics Physician
04-34474KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidstrong Medical Group Inc. Pediatrics Current Accepting new patients
Pediatric Specialty Clinic, LLC Pediatrics PastSince Oct 18, 2010 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri PA Pediatrics Past Accepting new patients

Locations

220 Laguna Rd
Ste 5
Fullerton, CA 92835
Phone (714) 879-2980

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1427288588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAGUNA RD STE 5",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352523",
            "telephone_number": "714-879-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAGUNA RD STE 5",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352523",
            "telephone_number": "714-879-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALA AHLUWALIA",
        "first_name": "GUNJEET",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A117446",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-34474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.