Individual provider Active NPI

Gudata Hinika, MD

  • Trauma Surgery Physician
  • Paramount, CA
National Provider Identifier
1689607293
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
A63029 Issued in CA
Practice address
15944 Colorado Ave
Paramount, CA 90723-5008
Phone
(562) 531-0784
Fax
(562) 531-0786
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X A63029 CA Primary

Addresses

Primary practice location

15944 Colorado Ave
Paramount, CA 90723-5008

Mailing address

15944 Colorado Ave
Paramount, CA 90723-5008
Phone (562) 531-0784

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
I20050428001113 CA Practitioner - General Surgery 0446299457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Henry Mayo Newhall Memorial HospitalGroup PAC ID 5193789121, 18 clinicians

Practice addresses (Care Compare)

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000

Hospital & facility affiliations

  • California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63029CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Mayo Newhall Memorial Hospital CurrentSince Jun 1, 2003 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 12, 2012 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 12, 2012 Accepting new patients
Dignity Community Care Past Accepting new patients
Lab Serv, Inc. PastSince Mar 17, 2024 Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

931 Buena Vista St
Ste 405
Duarte, CA 91010
Phone (626) 358-0269

225 W Broadway
Ste 100
Glendale, CA 91204
Phone (818) 545-7117

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1120 W Washington Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

5141 Crenshaw Blvd
Los Angeles, CA 90043
Phone (323) 545-9100

2601 Via Campo
Montebello, CA 90640
Phone (323) 720-1144

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 05T058 Hospital Corporate Director Oct 1, 2025
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 05S058 Hospital Corporate Director Oct 1, 2025
Northridge Hospital Medical CenterNorthridge, CA, CCN 05T116 Hospital Corporate Director Oct 1, 2025
Northridge Hospital Medical CenterNorthridge, CA, CCN 05S116 Hospital Corporate Director Oct 1, 2025
California Hospital Medical CenterLos Angeles, CA, CCN 050149 Hospital Corporate Director Oct 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1689607293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 COLORADO AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235008",
            "telephone_number": "562-531-0784",
            "fax_number": "562-531-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 COLORADO AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235008",
            "telephone_number": "562-531-0784",
            "fax_number": "562-531-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINIKA",
        "first_name": "GUDATA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A63029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.