Avro Gaon, MD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A033404 Issued in CA

Practice address

1401 Avocado Ave Ste 301
Newport Beach, CA 92660-8729

Phone

(949) 640-4115

Fax

(949) 640-4143

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447313754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608729",
            "telephone_number": "949-640-4115",
            "fax_number": "949-640-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608729",
            "telephone_number": "949-640-4115",
            "fax_number": "949-640-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAON",
        "first_name": "AVRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A033404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meliza Maria Gandara, LCSW
• Michelle Gandawidjaja
• Radhakrishan S Gandhi, M.D.
• Beckett Charles Gandolfi, PT, DPT
• Raeika Ganji
• Lisa D. Garbutt, M.D.
• Priscila Garcia Bedolla
• Cristina Garcia Hernandez
• Jacqueline Garcia Rodriguez
• Alexis Garcia

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• 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.