Gideon Strich, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G54167 Issued in CA

Practice address

13762 Fairmont Way
Tustin, CA 92780-1845

Phone

(714) 684-6166

Fax

(714) 364-1803

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santa Ana Tustin Radiology Medical Group

  • Diagnostic Radiology Physician
  • Santa Ana, CA
  • NPI 1972531036

  Body Imaging

  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1609818004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13762 FAIRMONT WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801845",
            "telephone_number": "949-285-4621",
            "fax_number": "714-364-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13762 FAIRMONT WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801845",
            "telephone_number": "714-684-6166",
            "fax_number": "714-364-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICH",
        "first_name": "GIDEON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G54167",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G54167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G541670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Michael Stewart, M.D.
• Jenny L. Stewart, LCSW
• Charles E Stirewalt, DMD
• Leslie Ann Stone, LCSW
• Emilie Story
• Strickland Hospitality Inc. Dba Right at Home
• Kathleen G. Strowig-Bogner, PT
• Hannah Strum
• Suzanne Stubblefield, PH.D.
• Marissa Sturges, DC

• General Practice Physician in Tustin, CA
• Providers in Tustin, 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 Nov 14, 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.