Individual provider Active NPI

Donald J. Gjesdal, M.D.

  • Allergy & Immunology Physician
  • Yorba Linda, CA
National Provider Identifier
1447254339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G37094 Issued in CA
Practice address
17021 Yorba Linda Blvd
Ste 160
Yorba Linda, CA 92886-3711
Phone
(714) 961-0110
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G37094 CA Primary

Addresses

Primary practice location

17021 Yorba Linda Blvd
Ste 160
Yorba Linda, CA 92886-3711

Mailing address

17021 Yorba Linda Blvd
Ste 160
Yorba Linda, CA 92886-3711
Phone (714) 961-0110

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447254339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 YORBA LINDA BLVD",
            "address_2": "STE 160",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863711",
            "telephone_number": "714-961-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 YORBA LINDA BLVD",
            "address_2": "STE 160",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863711",
            "telephone_number": "714-961-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJESDAL",
        "first_name": "DONALD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G37094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.