Gnana Desigan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C41859 Issued in CA

Practice address

6850 Sepulveda Blvd
Suite 214
Van Nuys, CA 91405

Phone

(818) 782-3116

Fax

(818) 782-3148

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477580298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 SEPULVEDA BLVD",
            "address_2": "SUITE 214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-782-3116",
            "fax_number": "818-782-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 SEPULVEDA BLVD",
            "address_2": "SUITE 214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-782-3116",
            "fax_number": "818-782-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIGAN",
        "first_name": "GNANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C41859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C418590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deryl Goldenberg a Psychological Corp.
• Jitendra N. Desai, M.D.
• Desante Home Health Inc
• Desante Hospice Services Inc
• Desante Med Group
• Developmental Pathways Care Inc
• Developmental Pathways, Inc.
• Devine Health Services Inc
• Devoted Care LLC
• Devoted Guardians Hospice

• Gastroenterology Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Gastroenterology Physician 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.