NPIMap

Organization Active NPI

Keith L. Gurnick, D.P.M.

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
National Provider Identifier
1891245619
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
E2615A Issued in CA
Legal business name
KEITH L. GURNICK, D.P.M.
Practice address
2080 Century Park E
Suite 705
Los Angeles, CA 90067-2001
Phone
(310) 553-7691
Fax
(310) 553-9542
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Keith Louis Gurnick, D.P.M.NPI 1730129214
Title
Owner
Phone
(310) 553-7691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X E2615A CA Primary

Addresses

Primary practice location

2080 Century Park E
Suite 705
Los Angeles, CA 90067-2001

Mailing address

2080 Century Park E
Suite 705
Los Angeles, CA 90067-2001
Phone (310) 553-7691

Other identifiers 2

IdentifierTypeStateIssuer
000E2615000OtherCABLUE SHIELD
P1737210OtherCAOXFORD

National Provider Directory

National Provider Directory

Locations

2080 Century Park E
Ste 705
Los Angeles, CA 90067
Phone (310) 553-7691

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1891245619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 705",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-7691",
            "fax_number": "310-553-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 705",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-7691",
            "fax_number": "310-553-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH L. GURNICK, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "GURNICK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-553-7691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "E2615A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000E2615000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1737210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.