Active NPI
Denise Gammage
- Case Manager/Care Coordinator
- Lancaster, CA
National Provider Identifier
1518098128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 43520 Division St
Lancaster, CA 93535-4089 - Phone
- (661) 272-4883
- Fax
- (661) 272-1005
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
43520 Division St
Lancaster, CA 93535-4089
Mailing address
40507 Pinnacle Way
Palmdale, CA 93551
Phone (661) 722-5474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1518098128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40507 PINNACLE WAY",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93551",
"telephone_number": "661-722-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43520 DIVISION ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354089",
"telephone_number": "661-272-4883",
"fax_number": "661-272-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMAGE",
"first_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.