Homayoon John Ganji, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A20795 Issued in CA

Practice address

31662 Isle Vista
Laguna Niguel, CA 92677-5444

Phone

(949) 280-3120

NPI assigned

Dec 1, 2008

Last updated

Mar 7, 2023By the provider in NPPES

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548415854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31662 ISLE VISTA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-280-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31662 ISLE VISTA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775444",
            "telephone_number": "949-280-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJI",
        "first_name": "HOMAYOON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A20795",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD00012616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN H. GANJL, MD LIC #",
            "identifier": "A20795",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noa Galiley
• Colleen P Gallagher, DC
• Shannon Gallina
• Parisa R Gallinger
• Brianna Gamo
• Viken Leon Garabedian, DDS
• Aneliz Garcia-Cabrera
• Juliana Isabel Sanguyu Garcia, BCAT
• Garfield Beach CVS LLC (CVS Pharmacy 08880)
• Garfield Beach CVS LLC (CVS Pharmacy 08863)

• General Practice Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.