Center for Diabetes, Endocrinology & Nutrition

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

C50561 Issued in CA

Legal business name

CENTER FOR DIABETES, ENDOCRINOLOGY & NUTRITION

Practice address

400 Camarillo Ranch Rd
#204
Camarillo, CA 93012-5901

Phone

(805) 482-5550

Fax

(805) 233-6367

NPI assigned

Jan 23, 2007

Last updated

May 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gulnar Poorsattar, MDNPI 1033264999

Title

President

Phone

(805) 482-5550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gulnar Poorsattar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Camarillo, CA
  • NPI 1033264999
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1447305305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD",
            "address_2": "SUITE 204",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125901",
            "telephone_number": "805-482-5550",
            "fax_number": "805-233-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD",
            "address_2": "#204",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125901",
            "telephone_number": "805-482-5550",
            "fax_number": "805-233-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIABETES, ENDOCRINOLOGY & NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "POORSATTAR",
        "authorized_official_first_name": "GULNAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-482-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C50561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.