Active NPI
Gerald Dennis Nagata, RPH
- Pharmacist
- Porterville, CA
National Provider Identifier
1851685648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26615
- Practice address
- 1363 W Henderson Ave
Porterville, CA 93257-1456 - Phone
- (559) 719-2204
- Fax
- (559) 719-2214
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26615 | CA | Primary |
Addresses
Primary practice location
1363 W Henderson Ave
Porterville, CA 93257-1456
Mailing address
39221 Road 36
Kingsburg, CA 93631-8808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26615 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1851685648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39221 ROAD 36",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936318808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 W HENDERSON AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932571456",
"telephone_number": "559-719-2204",
"fax_number": "559-719-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGATA",
"first_name": "GERALD",
"middle_name": "DENNIS",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "26615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.