Gage Medical Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GAGE MEDICAL CENTER, INC

Practice address

2719 E Gage Ave
Huntington Park, CA 90255-4202

Phone

(323) 277-0272

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Nagy F KhalilNPI 1598784811

Title

Owner

Phone

(323) 277-0272

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Nagy Khalil, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1598784811

  CA

  Medicare reassignment Care Compare group NPD Authorized official
• Ragaie Hakim, M.D

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1104952084

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891904686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 E GAGE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554202",
            "telephone_number": "323-277-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 E GAGE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554202",
            "telephone_number": "323-277-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NAGY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-277-0272"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Fryer-Casalenuovo
• Sandra Fuller, NP
• Fun Dental 4 Kids 3
• Gopal Krishna Gabbur, MD
• Gage Chiropractic
• Gage Medical Clinic Inc
• Luis A. Galdamez, M.D.
• Nathan Galdamez
• Violeta A. Galdamez, M.D.
• Rafael S Gallegos, CADCA

• All providers in Huntington Park, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.