Individual provider Active NPI

Ryan Majd Gorji, M.D.

  • Family Medicine Physician
  • Lancaster, CA
National Provider Identifier
1619358272
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A165855 Issued in CA
Practice address
43322 Gingham Ave Ste 103
Lancaster, CA 93535-4577
Phone
(661) 874-4050
NPI assigned
Jun 9, 2015
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A165855 CA Primary

Addresses

Primary practice location

43322 Gingham Ave Ste 103
Lancaster, CA 93535-4577

Mailing address

43322 Gingham Ave Ste 103
Lancaster, CA 93535-4577
Phone (661) 874-4050

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210430001073 CA Practitioner - Family Practice 2163731902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

43322 Gingham Ave
Lancaster, CA 93535-4576
Phone (661) 579-9317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A165855CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Urgent Care, Inc. CurrentSince Jan 19, 2021 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince Jan 9, 2024 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince Jan 9, 2024 Accepting new patients
Premium Urgent Care, Inc. CurrentSince Jan 19, 2021 Accepting new patients
Premium Urgent Care, Inc. Current Accepting new patients

Locations

12560 Boron Ave
Boron, CA 93516
Phone (760) 762-5064

2021 Herndon Ave
Ste 101
Clovis, CA 93611
Phone (559) 797-4315

6643 N Milburn Ave
Ste 104
Fresno, CA 93722
Phone (559) 412-2535

7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500

43322 Gingham Ave
Lancaster, CA 93535
Phone (661) 579-9317

43322 Gingham Ave
Ste 103
Lancaster, CA 93535

43322 Gingham Ave
Ste 105
Lancaster, CA 93535
Phone 6618744050222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1619358272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43322 GINGHAM AVE STE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354577",
            "telephone_number": "661-874-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43322 GINGHAM AVE STE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354577",
            "telephone_number": "661-874-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORJI",
        "first_name": "RYAN",
        "middle_name": "MAJD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A165855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.