Victor Michael Ganata, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A95477 Issued in CA

Practice address

456 E Orange Grove Blvd Ste 120
Pasadena, CA 91104-5235

Phone

(626) 683-8818

Fax

(626) 683-1103

NPI assigned

Nov 14, 2007

Last updated

Oct 25, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Yu Care Medical Group, Inc.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1104015429
  Medicare reassignment NPD
• Yu Care Medical Group, Inc.

  dba Care One Medical Center

  • General Practice Physician
  • Rowland Heights, CA
  • NPI 1235317561
  NPD
• Family First Medical Group

  • Pediatrics Physician
  • Pasadena, CA
  • NPI 1528231362
  NPD (past)
• Garfield Health Center

  • Clinic/Center
  • Rowland Heights, CA
  • NPI 1700722956
  NPD (past)
• St. Augustine Medical Center Inc.

  • General Practice Physician
  • Monterey Park, CA
  • NPI 1184651622
  NPD (past)
• Yu Care Medical Group, Inc.

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1639177587
  NPD (past)
• Primecare Medical Group

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1093720427
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1619157047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E ORANGE GROVE BLVD STE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911045235",
            "telephone_number": "626-683-8818",
            "fax_number": "626-683-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 E ORANGE GROVE BLVD STE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911045235",
            "telephone_number": "626-683-8818",
            "fax_number": "626-683-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1722 Desire Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rowland Heights",
            "state": "CA",
            "postal_code": "917482969",
            "country_code": "US",
            "telephone_number": "877-860-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANATA",
        "first_name": "VICTOR",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A95477",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A95477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gameros-Garcia
• Yesica G Gamez Cruz I
• Celia Gamez
• Krystal Gamez
• Marisol Gamez
• Anna Gang, BCBA
• Ernesto Sebastian Gangitano, M.D.
• Sarah Genevieve Gannon
• Meary Gant, LVN
• Megan Gant

• Pediatrics Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.