GAUTAM GANGULY (NPI# 1215912522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215912522 |
| Entity Type | Individual |
| Full Name | GAUTAM GANGULY |
| Credential | M.D. |
| Practice Address |
12291 Washington Blvd 303 Whittier CA 90606-2500 |
| Mailing Address |
101 E Beverly Blvd 206 Montebello CA 90640-4300 |
| Practice Telephone | 5626986296 |
| Practice Fax Number | 5626936752 |
| Mailing Telephone | 3237257297 |
| Mailing Fax Number | 3237250335 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A69058 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669849824 | Gautam Ganguly | General Practice | 2308 Ave Borinquen Apt 19, Santurce, San Juan, PR 00915-4427 | 2015-08-24 |
| Street Address |
12291 WASHINGTON BLVD 303 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90606-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213067 | Teresa Bernadette Sokol | Physician Assistant | 12291 Washington Blvd, Suite 303, Whittier, CA 90606-2500 | 2005-08-25 |
| 1326508979 | Gesina Thiry | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Whittier, CA 90606-2500 | 2019-03-20 |
| 1427405737 | Pih Health Physicians | Family Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2016-05-17 |
| 1912368838 | Nancy Carballo | General Practice | 12291 Washington Blvd, 500, Whittier, CA 90606-2500 | 2016-03-19 |
| 1013396274 | Andy B. Lee | Family Medicine | 12291 Washington Blvd, 500, Whittier, CA 90606-2500 | 2015-05-21 |
| 1326426750 | Amber Rebecca Lin | Family Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606 | 2015-05-18 |
| 1639558067 | Andrew Lin | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Whittier, CA 90606-2500 | 2015-05-18 |
| 1235517665 | Ilana Solomon | Family Medicine | 12291 Washington Blvd, Suite 301, Whittier, CA 90606-2500 | 2015-05-18 |
| 1225416654 | Misty Cool | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Suite 301, Whittier, CA 90606-2500 | 2015-05-18 |
| 1881008662 | Somil Piyush Viradia | Internal Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385113 | Adrian Garcia | Psychologist | 10800 E. Benavon St., Whittier, CA 90606 | 2018-11-19 |
| 1013424951 | Myra Cahambing | Physical Therapy Assistant | 12411 Slauson Ave., Unit G, Whittier, CA 90606 | 2017-12-31 |
| 1639698129 | Josephine Chang | Occupational Therapist | 12411 Slanson Ave. Unit H, Whittier, CA 90606 | 2017-09-15 |
| 1265950786 | Gladys J Lucero | Specialist/Technologist | 12411 Slauson Ave Unit H, Whittier, CA 90606 | 2017-09-05 |
| 1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
| 1124495734 | Valerie Rodriguez | Occupational Therapist | 12421 Slauson Ave., Suite H, Whittier, CA 90606 | 2015-08-31 |
| 1114303104 | Katherine Jones | Occupational Therapist | 12411 Slauson Avenue Unit H, Whittier, CA 90606 | 2015-08-03 |
| 1356742589 | Michael Alberto Garcia | Specialist/Technologist | 12411 Slauson Ave. Unit H, Whittier, CA 90606 | 2014-09-08 |
| 1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
| 1407284193 | Editha Gutierrez | Nurse Practitioner | 12291 Washington Blvd Ste 205, Whittier, CA 90606 | 2013-10-16 |
| Find all providers in zip 90606 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386088698 | John Arlen Parker | Psychiatry & Neurology | 5553 Mavis Ave, Whittier, CA 90601-2124 | 2013-04-18 |
| 1063504967 | Mark Ronald Pulera | Psychiatry & Neurology | 7007 Washington Ave Ste 221, Whittier, CA 90602 | 2006-09-28 |
| 1962928507 | Neurology Now, Inc | Psychiatry & Neurology | 7007 Washington Ave Ste 221, Whittier, CA 90602-3617 | 2017-08-15 |
| 1871963603 | Adrian Michael Burgos | Psychiatry & Neurology | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2015-10-06 |
| 1790923266 | Jenny Mcneal Saket | Psychiatry & Neurology | 12291 Washington Blvd, 303, Whittier, CA 90606-2500 | 2009-01-21 |
| 1720104383 | Henry Lin | Psychiatry & Neurology | 12291 Washington Blvd, 303, Whittier, CA 90606-2500 | 2007-03-22 |
| 1336221969 | Chan H Kim | Psychiatry & Neurology | 14350 Whittier Blvd, Suite #320, Whittier, CA 90605-2138 | 2006-10-20 |
| 1316922107 | Paul Conrad Helfgott | Psychiatry & Neurology | 12291 Washington Blvd, 303, Whittier, CA 90606-2500 | 2005-12-14 |
| 1134104508 | Brian Arthur Beck | Psychiatry & Neurology | 12291 Washington Blvd, 303, Whittier, CA 90606-2500 | 2005-12-08 |
| 1568447936 | Leonard Alan Gale | Psychiatry & Neurology | 12291 Washington Blvd, 303, Whittier, CA 90606-2500 | 2005-12-08 |
| Find all providers in WHITTIER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.