Organization Active NPI

Gita K.Medical Corp.

  • Primary Care Clinic/Center
  • Aliso Viejo, CA
National Provider Identifier
1568756971
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GITA K.MEDICAL CORP.
Practice address
26671 Aliso Creek Rd
Suite 205
Aliso Viejo, CA 92656-4809
Phone
(949) 864-6667
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Gita Jamshidi Kalantari, M.D.NPI 1790968659
Title
Family Medicine Doctor
Phone
(949) 362-0208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

26671 Aliso Creek Rd
Suite 205
Aliso Viejo, CA 92656-4809

Mailing address

4 Crystalglen
Aliso Viejo, CA 92656-1909
Phone (714) 595-0545

Other identifiers 1

IdentifierTypeStateIssuer
00A958470MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1568756971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CRYSTALGLEN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561909",
            "telephone_number": "714-595-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD",
            "address_2": "SUITE 205",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564809",
            "telephone_number": "949-864-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GITA K.MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "KALANTARI",
        "authorized_official_first_name": "GITA",
        "authorized_official_middle_name": "JAMSHIDI",
        "authorized_official_title_or_position": "FAMILY MEDICINE DOCTOR",
        "authorized_official_telephone_number": "949-362-0208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A958470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.