Ankur Gandhi, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

102580 Issued in CA

Practice address

2619 Clairemont Dr
San Diego, CA 92117-6634

Phone

(562) 716-6453

NPI assigned

Jun 8, 2016

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ankur Gandhi, DDS Inc.

  dba Bay Park Pediatric Dentistry

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1033970181
  NPD Authorized official

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1841649001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 FINO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242014",
            "telephone_number": "562-716-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176634",
            "telephone_number": "562-716-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ANKUR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "102580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yam Gong Gan, D.M.D.
• Jose G Gancayco, RN
• Beatriz Gandara
• Sofia Anahi Gandarilla
• Gandhi & Gandhi Medical Corporation
• Mausami Nikhil Gandhi
• Sheetal N. Gandhi, M.D.
• Robert A Gandola, D.D.S.
• Taegan Q Gandolfi, RD
• Benjamin Shun Gandomani, MD

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.