Individual provider Active NPI

Fatma Ela Tahmaz Gundogdu, MD

  • Pediatrics Physician
  • Walnut Creek, CA
National Provider Identifier
1942196860
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C203036 Issued in CA
Practice address
2139 Wilmington Dr
Walnut Creek, CA 94596-6238
Phone
(925) 849-2111
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C203036 CA Primary

Addresses

Primary practice location

2139 Wilmington Dr
Walnut Creek, CA 94596-6238

Mailing address

2139 Wilmington Dr
Walnut Creek, CA 94596-6238
Phone (925) 849-2111

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260608002763 CA Practitioner - Pediatric Medicine 8224509500

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1031 15TH St
Modesto, CA 95354-1131

600 B St BLDG a
Livingston, CA 95334-9593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C203036CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1942196860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 WILMINGTON DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945966238",
            "telephone_number": "925-849-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 WILMINGTON DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945966238",
            "telephone_number": "925-849-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHMAZ GUNDOGDU",
        "first_name": "FATMA",
        "middle_name": "ELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C203036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.