Pacific Gynecologic Specialists

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

GR0103810 Issued in CA

Legal business name

PACIFIC GYNECOLOGIC SPECIALISTS

Practice address

181 South Buena Vista Street
3Rd Floor
Burbank, CA 91505-1204

Phone

(818) 847-4436

Fax

(818) 847-4432

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Richard Lee Friedman, M.D.

Title

Managing Partner

Phone

(818) 847-4436

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Megan Solomon Gau, M.D., M.H.S.

  • Obstetrics & Gynecology Physician
  • Arcadia, CA
  • NPI 1669908265
  Medicare reassignment NPD
• Alan C Schlaerth, M.D.

  • Gynecologic Oncology Physician
  • Arcadia, CA
  • NPI 1043239049
  Medicare reassignment NPD
• John Burr Schlaerth, MD

  • Gynecologic Oncology Physician
  • Bakersfield, CA
  • NPI 1457368029
  Medicare reassignment
• Margarett Conklin Ellison, M.D.

  • Gynecologic Oncology Physician
  • Moultrie, GA
  • NPI 1871591297
  NPD (past)
• William Joseph Roy Jr., M.D.

  • Gynecologic Oncology Physician
  • Pensacola, FL
  • NPI 1225051204
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1609074806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O, BOX 8410",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911098410",
            "telephone_number": "818-847-4436",
            "fax_number": "818-847-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SOUTH BUENA VISTA STREET",
            "address_2": "3RD FLOOR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051204",
            "telephone_number": "818-847-4436",
            "fax_number": "818-847-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC GYNECOLOGIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-847-4436",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "GR0103810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brynilla Pacheco, P.T.
• Robert A Pacheco, DPT
• Pacific Accountable Care Network Inc
• Pacific Clinics
• Pacific Eye Surgery Center
• Pacific Home Health Care
• Pacific Imaging West, Inc.
• Pacific Sports Health Management, Inc.
• Ruchi Dineshkumar Padalia
• Brett Richard Padden, RCP

• Gynecologic Oncology Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Gynecologic Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.