Individual provider Active NPI

Kirit V Gala, MD

  • Hematology & Oncology Physician
  • Arcadia, CA
National Provider Identifier
1801890405
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A35360 Issued in CA
Practice address
414 Cambridge Dr
Arcadia, CA 91007-2631
Phone
(626) 379-5565
Fax
(626) 270-4368
NPI assigned
Jun 10, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A35300 CA
Hematology & Oncology Physician 207RH0003X A35360 CA Primary

Addresses

Primary practice location

414 Cambridge Dr
Arcadia, CA 91007-2631

Mailing address

414 Cambridge Dr
Arcadia, CA 91007-2631
Phone (626) 379-5565

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
I20070222000633 CA Practitioner - Hematology/Oncology 4789786633 Reassigns benefits to 1 organization
Practice locations: Arcadia, CA

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Complete Care Community Health Center, IncGroup PAC ID 3779494190, 45 clinicians

Practice addresses (Care Compare)

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033-3110
Phone (323) 266-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35300CAMDHematology & Oncology Physician
A35360CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc Current Accepting new patients
Complete Care Community Health Center, Inc CurrentSince May 18, 2020 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince May 18, 2020 Accepting new patients

Locations

1300 N Vermont Ave
Ste 606
Los Angeles, CA 90027
Phone (323) 660-6200

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

941 S Atlantic Blvd
Ste 218
Monterey Park, CA 91754
Phone (626) 458-8401

941 S Atlantic Blvd
Ste 101
Monterey Park, CA 91754
Phone (626) 458-8401

2595 E Washington Blvd
Ste 106
Pasadena, CA 91107
Phone (626) 794-8133

5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kirit.gala.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1801890405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CAMBRIDGE DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910072631",
            "telephone_number": "626-379-5565",
            "fax_number": "626-270-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CAMBRIDGE DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910072631",
            "telephone_number": "626-379-5565",
            "fax_number": "626-270-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALA",
        "first_name": "KIRIT",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A35300",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A35360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.