Organization Active NPI

Ushakumar Gogineni, D.O. - a Professional Corporation

  • Family Medicine Physician
  • Cerritos, CA
National Provider Identifier
1821217662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9287 Issued in CA
Legal business name
USHAKUMAR GOGINENI, D.O. - A PROFESSIONAL CORPORATION
Practice address
13220 Rose St
Cerritos, CA 90703-8644
Phone
(562) 900-4930
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ushakumar Gogineni, D.O.NPI 1598897159
Title
President
Phone
(562) 900-4930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9287 CA Primary

Addresses

Primary practice location

13220 Rose St
Cerritos, CA 90703-8644

Mailing address

13220 Rose St
Cerritos, CA 90703-8644
Phone (562) 900-4930

National Provider Directory

National Provider Directory

Locations

1066 Atlantic Ave
Ste D
Long Beach, CA 90813
Phone (562) 590-2241

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821217662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 ROSE ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038644",
            "telephone_number": "562-900-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 ROSE ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038644",
            "telephone_number": "562-900-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHAKUMAR GOGINENI, D.O. - A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOGINENI",
        "authorized_official_first_name": "USHAKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-900-4930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.