Active NPI
Ganesh Medical Corporation
- Clinic/Center
- Apple Valley, CA
National Provider Identifier
1972829729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A504540
- Legal business name
- GANESH MEDICAL CORPORATION
- Practice address
- 15982 Tuscola Rd
Apple Valley, CA 92307 - Phone
- (760) 946-4600
- Fax
- (760) 946-1696
- NPI assigned
- Apr 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naresh J Ganesh, MD
- Title
- President
- Phone
- (760) 946-4600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A504540 | DC | Primary |
Addresses
Primary practice location
15982 Tuscola Rd
Apple Valley, CA 92307
Mailing address
15982 Tuscola Rd
Apple Valley, CA 92307-2111
Phone (760) 946-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A504540 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15982 Tuscola Rd
Ste A
Apple Valley, CA 92307
Phone (760) 946-4600
15982 Tuscola Rd
Apple Valley, CA 92307
Phone (760) 946-4600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Apple Valley, CA
- NPI 1558468942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271635200000",
"number": "1972829729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15982 TUSCOLA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072111",
"telephone_number": "760-946-4600",
"fax_number": "760-946-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15982 TUSCOLA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307",
"telephone_number": "760-946-4600",
"fax_number": "760-946-1696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GANESH MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-19",
"last_updated": "2010-04-19",
"status": "A",
"authorized_official_last_name": "GANESH",
"authorized_official_first_name": "NARESH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-946-4600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "DC",
"license": "A504540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A504540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.