Sanford H Gaynor, M.D.,Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G6215 Issued in CA

Legal business name

SANFORD H GAYNOR, M.D.,INC.

Practice address

1045 W Redondo Beach Blvd
Suite 115
Gardena, CA 90247-4128

Phone

(310) 527-7355

Fax

(310) 527-2528

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sanford H Gaynor, M.D.

Title

President

Phone

(310) 527-7355

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1750560710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 115",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474128",
            "telephone_number": "310-527-7355",
            "fax_number": "310-527-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 115",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474128",
            "telephone_number": "310-527-7355",
            "fax_number": "310-527-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD H GAYNOR, M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "GAYNOR",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-527-7355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G6215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G62150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesica L. Sandoval, LMFT
• Jocelyne Sandoval
• Karla Vaness Sandoval
• Kian Sandoval
• Sergio Sandoval
• Sheriwana Sanford
• Ali Sher Sani, BCBA
• Andrea Sanserino, L.C.S.W.
• Cecilia Santacruz
• Lizette Santana, NONE

• Nephrology Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.