Active NPI
George Michael Lagoyda I, M.D.
- Specialist
- Granada Hills, CA
National Provider Identifier
1750747499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G30859
- Practice address
- 12410 Longacre Ave
Granada Hills, CA 91344-2003 - Phone
- (818) 366-8428
- NPI assigned
- Jan 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G30859 | CA | Primary |
Addresses
Primary practice location
12410 Longacre Ave
Granada Hills, CA 91344-2003
Mailing address
12410 Longacre Ave
Granada Hills, CA 91344-2003
Phone (818) 366-8428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30859 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1750747499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12410 LONGACRE AVE",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442003",
"telephone_number": "818-366-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 LONGACRE AVE",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442003",
"telephone_number": "818-366-8428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGOYDA",
"first_name": "GEORGE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G30859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.