NPIMap

Organization Active NPI

Brian K Gaw, M.D., Inc.

  • Pediatrics Physician
  • Lancaster, CA
National Provider Identifier
1932409257
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A49005 Issued in CA
Legal business name
BRIAN K GAW, M.D., INC.
Doing business as
Brian K Gaw, M.D., Inc.
Practice address
1669 W Avenue J
Suite 304
Lancaster, CA 93534-2866
Phone
(661) 951-7888
Fax
(661) 951-8889
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Brian Kimkyone GawNPI 1457354391
Title
President and Owner
Phone
(661) 951-7888

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A49005 CA Primary

Addresses

Primary practice location

1669 W Avenue J
Suite 304
Lancaster, CA 93534-2866

Mailing address

1669 W Avenue J
Suite 304
Lancaster, CA 93534-2866
Phone (661) 951-7888

Other names 1

  • Brian K Gaw, M.D., Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110907000980 CA Part B Supplier - Clinic/Group Practice 9234309972 Receives reassigned benefits from 2 practitioners
Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1932409257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 W AVENUE J",
            "address_2": "SUITE 304",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342866",
            "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",
            "address_2": "SUITE 304",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342866",
            "telephone_number": "661-951-7888",
            "fax_number": "661-951-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K GAW, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "GAW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KIMKYONE",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "661-951-7888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A49005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian K Gaw, M.D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 2011; 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.