Individual provider Active NPI

Kumar S Gandhi, M.D.

  • Internal Medicine Physician
  • Orange, CA
National Provider Identifier
1821369877
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A122756 Issued in CA
Practice address
1215 E Chapman Ave
Orange, CA 92866-2237
Phone
(714) 633-4600
NPI assigned
Jan 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A122756 CA Primary

Addresses

Primary practice location

1215 E Chapman Ave
Orange, CA 92866-2237

Mailing address

18650 Macarthur Blvd Ste 450
Irvine, CA 92612-1253
Phone (949) 688-7075

Other practice location 1

24631 Acropolis Dr
Mission Viejo, CA 92691-4603
Phone (949) 413-4029

Other practice location 2

395 W Central Ave
Brea, CA 92821-3025
Phone (714) 494-2828

Other identifiers 1

IdentifierTypeStateIssuer
113786OtherCASID # 113786

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
I20181105002751 CA Practitioner - Internal Medicine 0244583482 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dazzle Health P CGroup PAC ID 4082146634, 26 clinicians

Practice addresses (Care Compare)

18650 Macarthur Blvd
Irvine, CA 92612-1244
Phone (412) 996-9012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122756CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince May 25, 2022 Accepting new patients
Central City Community Health Center Inc CurrentSince May 25, 2022 Accepting new patients
Wound MD PC CurrentSince Jun 18, 2024 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Internal Medicine CurrentSince Sep 14, 2018 Accepting new patients
Dazzle Health P C CurrentSince Sep 29, 2025 Accepting new patients
Central City Community Health Center Inc Current Accepting new patients

Locations

2237 W Ball Rd
Anaheim, CA 92804
Phone (714) 490-2750

2211 Mount Vernon Ave
Bakersfield, CA 93306
Phone (502) 596-7588

1100 Trousdale Dr
Burlingame, CA 94010
Phone (650) 692-1967

587 Rio Lindo Ave
Chico, CA 95926
Phone (530) 345-1306

590 S Indian Hill Blvd
Claremont, CA 91711
Phone (909) 624-4511

22590 Voss Ave
Cupertino, CA 95014
Phone (408) 253-9034

12023 Lakewood Blvd
Downey, CA 90242
Phone (562) 869-0978

1340 E Madison Ave
El Cajon, CA 92021
Phone (619) 447-1020

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

1665 M St
Fresno, CA 93721
Phone (559) 268-5361

12511 Brookhurst St
Garden Grove, CA 92840
Phone (714) 534-5050

1805 West St
Hayward, CA 94545
Phone (510) 259-6733

18650 MacArthur Blvd
Irvine, CA 92612
Phone (412) 996-9012

18650 MacArthur Blvd
Ste 450
Irvine, CA 92612
Phone (949) 570-7750

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

1565 Hill Rd
Novato, CA 94947
Phone (415) 461-9700

1400 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 642-1736

2585 E Washington Blvd
Pasadena, CA 91107
Phone (626) 463-4105

9020 Garfield St
Riverside, CA 92503
Phone (951) 688-8200

1209 Hemlock Way
Santa Ana, CA 92707
Phone (714) 546-1966

1311 E Date St
Sn Bernrdno, CA 92404
Phone (909) 543-5387

12116 Beach Blvd
Stanton, CA 90680
Phone (714) 498-2222

612 E Janss Rd
Thousand Oaks, CA 91360
Phone (805) 373-0725

Interoperability endpoints

  • Direct secure messaging: kumar.gandhi.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 6

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1821369877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 MACARTHUR BLVD STE 450",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121253",
            "telephone_number": "949-688-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662237",
            "telephone_number": "714-633-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24631 Acropolis Dr",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926914603",
            "country_code": "US",
            "telephone_number": "949-413-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928213025",
            "country_code": "US",
            "telephone_number": "714-494-2828",
            "fax_number": "714-482-2871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "KUMAR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A122756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SID # 113786",
            "identifier": "113786",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.