Anil Krishnakumar Gandhi, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A30411 Issued in CA

Practice address

12231 Artesia Blvd.
Cerritos, CA 90703-8143

Phone

(562) 653-0180

Fax

(562) 402-3029

NPI assigned

Jun 16, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Anil K Gandi Professional name

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

Specialty

General PracticeAlso: General Surgery

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• La Fe Medical Group

  • Legal Medicine
  • Los Angeles, CA
  • NPI 1609056639
  Medicare reassignment NPD
• La Familia and Womens Medical Clinic Inc

  • General Practice Physician
  • Corona, CA
  • NPI 1982477758
  NPD (past) Authorized official
• Cha Hollywood Medical Center, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  NPD (past)
• Integrative Diagnostic Group Inc

  • Adult Medicine Physician
  • Cerritos, CA
  • NPI 1104373745
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1972824753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 ARTESIA BLVD.",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038143",
            "telephone_number": "562-653-0180",
            "fax_number": "562-402-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12231 ARTESIA BLVD.",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038143",
            "telephone_number": "562-653-0180",
            "fax_number": "562-402-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ANIL",
        "middle_name": "KRISHNAKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A30411",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A30411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIL",
            "last_name": "GANDI",
            "middle_name": "K",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joel Randy Gallegos
• Kimberly Nicole Gambetta, RN
• Georgina Gamboa
• Melody Harmony Gamongan
• Alejandra Herrera Gandarilla, MSW INTERN
• Avani Gandhi, DDS
• Bhavin Gandhi, DDS
• Natasha Gandhi, B.C.B.A., M.F.T.
• Neal Dinesh Gandhi, OTR
• Pranali Romil Gaonkar Chand

• Surgery Physician in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.