G.K Edwards M.D Apc

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

G59625 Issued in CA

Legal business name

G.K EDWARDS M.D APC

Practice address

1328 Twenty Second Street
Santa Monica, CA 90404

Phone

(310) 449-1188

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Keith Edwards

Title

M.D.

Phone

(310) 449-1188

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Paul Edward Lizotte, DO

  • Internal Medicine Physician
  • Oceanside, CA
  • NPI 1699855841

  Nuclear Medicine

  NPD (past)
• Esther Choi, M.D.

  • Nuclear Medicine Physician
  • Seattle, WA
  • NPI 1134162803
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598708240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 PROSSER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642323",
            "telephone_number": "310-449-1188",
            "fax_number": "310-449-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 TWENTY SECOND STREET",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-449-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.K EDWARDS M.D APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-449-1188",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "G59625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G596250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Anhua Fung, M.D
• Jaclyn Furoy, PA-C
• Ronald Furst
• Patricia Futia, LMFT
• Kristina Fyrwald, ACSW
• G.P.Edwards M.D.
• Ruth Gabay, FNP-C
• Dinah A Gabitov
• Donna Tully Gable, PH.D.
• Gina M Gabreski, PA

• Nuclear Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Nuclear Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.