Fakirmohmed Mahmed Gosla, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

AFE33960 Issued in CA

Practice address

15 Vacaville
Irvine, CA 92602

Phone

(714) 389-2535

NPI assigned

Mar 18, 2008

Sex

Male

Sole proprietor

Yes

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

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1528239571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60265",
            "address_2": "15 VACAVILLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92602",
            "telephone_number": "714-389-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VACAVILLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92602",
            "telephone_number": "714-389-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSLA",
        "first_name": "FAKIRMOHMED",
        "middle_name": "MAHMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "AFE33960",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "AFE33960",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3864816",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Gore, M.D.
• Patrick Gorham
• Kaitlyn Gorjans
• Kassidy Gorman, MS
• Ferdinanda Margaretha Gortzak, IBCLC
• Gottschalk Medical Plaza - Dermatology
• Valerie Gough
• Christina Goulart
• Gouvion and Grant Dentistry
• Wayne Anthony Gouvion, D.D.S.

• Physical Medicine & Rehabilitation Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.