Organization Active NPI

Goradia Medical Corporation

  • Specialist
  • Carmichael, CA
National Provider Identifier
1689782484
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GORADIA MEDICAL CORPORATION
Practice address
6501 Coyle Avenue
Attention: Medical Staff Office, Tushar Goradia MD
Carmichael, CA 95608
Phone
(916) 537-5000
Fax
(916) 534-1235
NPI assigned
Aug 29, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Tushar Goradia, MD, PHDNPI 1619905007
Title
President
Phone
(916) 534-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6501 Coyle Avenue
Attention: Medical Staff Office, Tushar Goradia MD
Carmichael, CA 95608

Mailing address

548 Market St # 48710
San Francisco, CA 94104-5401
Phone (916) 534-1234

Other practice location 1

4003 Bridge St
Fair Oaks, CA 95628-7503
Phone (916) 534-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000981 CA Part B Supplier - Clinic/Group Practice 8123095890 Receives reassigned benefits from 1 practitioner
Practice locations: Fair Oaks, CA

National Provider Directory

National Provider Directory
Tax ID family
Goradia Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6501 Coyle Ave
Ofc Tushar
Carmichael, CA 95608
Phone (916) 537-5000

6620 Coyle Ave
Ste 304
Carmichael, CA 95608
Phone (916) 534-1234

4003 Bridge St
Fair Oaks, CA 95628
Phone (916) 534-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689782484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MARKET ST # 48710",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045401",
            "telephone_number": "916-534-1234",
            "fax_number": "916-534-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 COYLE AVENUE",
            "address_2": "ATTENTION: MEDICAL STAFF OFFICE, TUSHAR GORADIA MD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "95608",
            "telephone_number": "916-537-5000",
            "fax_number": "916-534-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4003 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956287503",
            "country_code": "US",
            "telephone_number": "916-534-1234",
            "fax_number": "916-534-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GORADIA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GORADIA",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-534-1234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.