NPIMap

Individual provider Active NPI

Nirav D Gandhi, M.D.

  • Nephrology Physician
  • Anaheim, CA
National Provider Identifier
1649263252
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A76927 Issued in CA
Practice address
1801 W Romneya Dr Ste 207
Anaheim, CA 92801-1825
Phone
(714) 956-5200
Fax
(714) 956-4614
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A76927 CA Primary

Addresses

Primary practice location

1801 W Romneya Dr Ste 207
Anaheim, CA 92801-1825

Mailing address

1801 W Romneya Dr
# 207
Anaheim, CA 92801-1830
Phone (714) 956-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000438 CA Practitioner - Nephrology 0244276046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Kidney Consultants IncGroup PAC ID 6103811286, 21 clinicians

Practice addresses (Care Compare)

12665 Garden Grove Blvd
Suite 211
Garden Grove, CA 92843-1916
Phone (714) 636-2890

Hospital & facility affiliations

  • DaVita Anaheim Springs Dialysis Dialysis facility, Anaheim, CA, CCN 552766
  • DaVita Anaheim West Dialysis Dialysis facility, Anaheim, CA, CCN 552676
  • DaVita Cerritos Dialysis Dialysis facility, Cerritos, CA, CCN 052896
  • DaVita Beach Dialysis Dialysis facility, Stanton, CA, CCN 552877
  • DaVita Chapman Home Training Dialysis facility, Fullerton, CA, CCN 752523
  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • La Palma Intercommunity Hospital Hospital, La Palma, CA, CCN 050580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76927CAMDNephrology Physician

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
Southern California Kidney Consultants Inc. Nephrology CurrentSince Jan 1, 2018 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
THC - Orange County LLC Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
THC - Orange County, LLC Past Accepting new patients
University of California Irvine Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

1019 W La Palma Ave
Unit A
Anaheim, CA 92801
Phone (714) 364-4441

1019 W La Palma Ave
Anaheim, CA 92801
Phone (714) 441-0411

100 E Valencia Mesa Dr
Ste 100
Fullerton, CA 92835
Phone (714) 525-4185

12665 Garden Grove Blvd
Ste 211
Garden Grove, CA 92843
Phone (714) 636-2890

5451 La Palma Ave
Ste 47
La Palma, CA 90623
Phone (714) 226-0818

5451 La Palma Ave
Ste 35
La Palma, CA 90623
Phone (714) 523-5970

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nirav.gandhi.1@21072.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21072/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1649263252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "# 207",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011830",
            "telephone_number": "714-956-5200",
            "fax_number": "714-956-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR STE 207",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011825",
            "telephone_number": "714-956-5200",
            "fax_number": "714-956-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "NIRAV",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A76927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.