Gurpal S Phaguda, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G71819 Issued in CA

Practice address

15462 Main St
Hesperia, CA 92345-3318

Phone

(760) 949-7000

Fax

(760) 949-3123

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Geriatric Medicine, Internal Medicine

Education

Loma Linda University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: gurpalphaguda@friendlymc.allscriptsdirect.net

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.

• Friendly Medical Center

  • Urgent Care Clinic/Center
  • Hesperia, CA
  • NPI 1467418038

  Family Medicine

  Medicare reassignment NPD Authorized official
• Dignity Health

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• Victor Valley Community Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1952311953
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1467586537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15462 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453318",
            "telephone_number": "760-949-7000",
            "fax_number": "760-949-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15462 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453318",
            "telephone_number": "760-949-7000",
            "fax_number": "760-949-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAGUDA",
        "first_name": "GURPAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G71819",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G71819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G718190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Alexandra Perez
• Hillary Perrick
• Autumn Peters
• Jeralynn Marie Petrowski
• Sharon L Pettey, SLPA
• Brandon Pham
• Don Pham, DO
• Mino Thu Pham, M.D.
• Phelan Acupuncture & Herbs, Inc
• Brande L Phillips

• Family Medicine Physician in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.