Active NPI
Miranda Pwen Gaw, MD
- Internal Medicine Physician
- Lancaster, CA
National Provider Identifier
1891705885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A52438
- Practice address
- 1669 W Avenue J Ste 304
Lancaster, CA 93534-2870 - Phone
- (661) 951-7888
- Fax
- (661) 951-8889
- NPI assigned
- Aug 9, 2006
- Reactivated
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A52438 | CA | Primary |
Addresses
Primary practice location
1669 W Avenue J Ste 304
Lancaster, CA 93534-2870
Mailing address
1669 W Ave J, Suite 304
Lancaster, CA 93534
Phone (661) 951-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A524380 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52438 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian K Gaw, M.D., Inc. | Current | Accepting new patients | |
| Morgan-Haugh Professional Services Corporation | Past | Accepting new patients | |
| Oncology Hematology Consultants, PSC | Past | Accepting new patients |
Locations
1669 W Avenue J
Ste 304
Lancaster, CA 93534
Phone (661) 951-7888
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Lancaster, CA
- NPI 1932409257
-
- Multi-Specialty Clinic/Center
- Mayfield, KY
- NPI 1659454924
-
- Hematology & Oncology Physician
- Paducah, KY
- NPI 1205883378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1891705885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1669 W AVE J, SUITE 304",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-951-7888",
"fax_number": "661-951-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1669 W AVENUE J STE 304",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342870",
"telephone_number": "661-951-7888",
"fax_number": "661-951-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAW",
"first_name": "MIRANDA",
"middle_name": "PWEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2014-06-24",
"deactivation_date": "2006-08-22",
"reactivation_date": "2006-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A52438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A524380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.