Individual provider Active NPI

Gary E Ford, M.D.

  • Otolaryngology Physician
  • Gardena, CA
National Provider Identifier
1780634022
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G36302 Issued in CA
Practice address
1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90247-4128
Phone
(310) 329-8633
Fax
(310) 329-8636
NPI assigned
May 10, 2006
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G36302 CA Primary

Addresses

Primary practice location

1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90247-4128

Mailing address

1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90247-4128
Phone (310) 329-8633

Other identifiers 1

IdentifierTypeStateIssuer
00G363020MedicaidCA

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
I20050124000798 CA Practitioner - OtolaryngologyPractitioner - General Practice 4981654381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Gary E Ford MD a Professional CorporationGroup PAC ID 5698710341, 2 clinicians
Careone Healthcare Group IncGroup PAC ID 6305358649, 3 clinicians

Practice addresses (Care Compare)

1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90247-4191
Phone (310) 329-8633

16430 Vanowen St
Unit 207 a
Van Nuys, CA 91406-4729

210 S Kenwood St
Suite 100
Glendale, CA 91205-5109
Phone (747) 777-2808

730 S Central Ave
Suite 211 B
Glendale, CA 91204-2061
Phone (818) 660-0068

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Careone Healthcare Group Inc CurrentSince Jan 27, 2026 Accepting new patients
Gary E Ford M.D.,(a Professional Corporation) Otolaryngology CurrentSince Feb 28, 2005 Accepting new patients
Healing Garden Medical Clinic Otolaryngology Current Accepting new patients
Burbank Sleep Technology Past Accepting new patients
Dignity Community Care Past Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
Gwen M. Allen MD Inc PastSince Mar 1, 2004 Accepting new patients
Eladh, LP Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
Elder Ear Medical Group, Inc. Otolaryngology Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
County of Los Angeles Past Accepting new patients
Kronos Cardia Medical Group, Inc Past Accepting new patients

Locations

1045 W Redondo Beach Blvd
Ste 575
Gardena, CA 90247
Phone (310) 329-8633

16430 Vanowen St
Unit 207A
Van Nuys, CA 91406
Phone (818) 660-0068

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1780634022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 575",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474128",
            "telephone_number": "310-329-8633",
            "fax_number": "310-329-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 575",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474128",
            "telephone_number": "310-329-8633",
            "fax_number": "310-329-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "GARY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G36302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G363020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.