Individual provider Active NPI

Aldo T Gamarra, M.D.

  • Surgery Physician
  • Lancaster, CA
National Provider Identifier
1952549156
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A126754 Issued in CA
Practice address
1658 W Avenue J
Lancaster, CA 93534-2814
Phone
(661) 579-6088
Fax
(661) 438-1743
NPI assigned
Jan 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A126754 CA Primary

Addresses

Primary practice location

1658 W Avenue J
Lancaster, CA 93534-2814

Mailing address

1658 W Avenue J
Lancaster, CA 93534-2814
Phone (661) 579-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160624001366 CA Practitioner - General Surgery 7315263522 Reassigns benefits to 2 organizations
I20161012002367 SD Practitioner - General Surgery 7315263522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Albany Medical College of Union University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 W Ave J
Lancaster, CA 93534-2814
Phone (661) 949-5000

1658 W Ave J
Lancaster, CA 93534-2814
Phone (661) 942-8855

38600 Medical Ctr Dr
Palmdale, CA 93551-4483
Phone (661) 382-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126754CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Sep 15, 2016 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 10, 2016 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Sep 15, 2016 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients
Sutter Coast Hospital Past Accepting new patients
Huron Regional Medical Center Inc Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Lakewood Health System Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542

27700 Medical Center Rd
#1182
Mission Viejo, CA 92691

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1952549156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-579-6088",
            "fax_number": "661-438-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-579-6088",
            "fax_number": "661-438-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMARRA",
        "first_name": "ALDO",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A126754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.