Organization Active NPI

David J Gajda, MD, a Professional Corporation

  • Ophthalmology Physician
  • Oroville, CA
National Provider Identifier
1578025631
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION
Practice address
1550 Myers St Ste a
Oroville, CA 95965-4689
Phone
(530) 877-2020
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
David Jeffery Gajda, M.D.
Title
President
Phone
(530) 877-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1550 Myers St Ste a
Oroville, CA 95965-4689

Mailing address

5889 Clark Rd
Paradise, CA 95969-4861
Phone (530) 877-2020

Other names 1

  • Eye Life Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David J Gajda MD a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1578025631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 CLARK RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694861",
            "telephone_number": "530-877-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MYERS ST STE A",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959654689",
            "telephone_number": "530-877-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "GAJDA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-877-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Life Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.