Individual provider Active NPI

Gemma Paguirigan, NP-C

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1831526284
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23071 Issued in CA
Practice address
611 E Imperial Hwy
Los Angeles, CA 90059-2358
Phone
(323) 732-0100
Fax
(323) 756-1939
NPI assigned
Oct 1, 2013
Last updated
Nov 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 23071 CA Primary

Addresses

Primary practice location

611 E Imperial Hwy
Los Angeles, CA 90059-2358

Mailing address

1431 W 180TH St
Gardena, CA 90248-3765
Phone (310) 951-0217

Other names 1

  • Gemma Paguirigan Gavia Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129001543 CA Practitioner - Nurse Practitioner 3577820547 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavors Practice Management IncGroup PAC ID 1951648765, 2 clinicians
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians
California Mobile Doctors Group IncGroup PAC ID 3779908306, 4 clinicians

Practice addresses (Care Compare)

Northridge, CA 91324
Phone (818) 581-8088

2829 S Grand Ave
Los Angeles, CA 90007-3304
Phone (213) 699-7013

8619 Reseda Blvd
Suite 201
Northridge, CA 91324-4066
Phone (747) 217-8863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Aug 13, 2021 Accepting new patients
Ideal Health Care and Medical Clinic, Inc. CurrentSince Mar 1, 2018 Accepting new patients
County of Los Angeles CurrentSince Aug 13, 2021 Accepting new patients
California Mobile Doctors Group Inc CurrentSince Mar 15, 2024 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Dec 1, 2017 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

1500 S Central Ave
Ste 320
Glendale, CA 91204
Phone (818) 396-5670

2829 S Grand Ave
Los Angeles, CA 90007
Phone (213) 699-7000

8619 Reseda Blvd
Ste 201
Northridge, CA 91324
Phone (747) 217-8863

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1831526284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 W 180TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483765",
            "telephone_number": "310-951-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E IMPERIAL HWY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592358",
            "telephone_number": "323-732-0100",
            "fax_number": "323-756-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGUIRIGAN",
        "first_name": "GEMMA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEMMA",
            "last_name": "GAVIA",
            "middle_name": "PAGUIRIGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.