SANFORD H GAYNOR, M.D.,INC. (NPI# 1750560710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750560710 |
| Entity Type | Organization |
| Organization Name | SANFORD H GAYNOR, M.D.,INC. |
| Practice Address |
1045 W Redondo Beach Blvd Suite 115 Gardena CA 90247-4128 |
| Practice Telephone | 3105277355 |
| Practice Fax Number | 3105272528 |
| Mailing Telephone | 3105277355 |
| Mailing Fax Number | 3105272528 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | DR. SANFORD H GAYNOR (PRESIDENT) |
| Authorized Official Telephone | 3105277355 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
G6215 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000G62150 | 05 |
| Street Address |
1045 W REDONDO BEACH BLVD SUITE 115 |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513925 | Kimberly Jill Eddings-reece | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 240, Gardena, CA 90247-4128 | 2005-07-21 |
| 1891118477 | Christine Marie Gutierrez | Nurse Practitioner | 1045 W Redondo Beach Blvd, St 500, Gardena, CA 90247-4128 | 2014-02-02 |
| 1265772107 | Matthew Thomas Breismeister | Physical Therapist | 1045 W Redondo Beach Blvd, 130, Gardena, CA 90247-4128 | 2013-02-28 |
| 1952670341 | Annette A. Coronel-perey,m.d., Inc. | Pediatrics | 1045 W Redondo Beach Blvd, Suite 100, Gardena, CA 90247-4128 | 2011-12-14 |
| 1720397383 | Crystal Danae Burgers | Nurse Practitioner | 1045 W Redondo Beach Blvd, Ste. # 500, Gardena, CA 90247-4128 | 2010-09-30 |
| 1144458928 | Kelly Yu | Podiatrist | 1045 W Redondo Beach Blvd, Suite 106, Gardena, CA 90247-4128 | 2009-06-30 |
| 1083890701 | East-west Eye Institute A Medical Corporation | Optometrist | 1045 W Redondo Beach Blvd, Suite 400, Gardena, CA 90247-4128 | 2008-01-11 |
| 1336324805 | Gary E Ford M.d.,(a Professional Corporation) | Otolaryngology | 1045 W Redondo Beach Blvd, Suite 575, Gardena, CA 90249-4128 | 2008-01-03 |
| 1982894572 | Lawrence I Rubin Dpm, Inc | Podiatrist | 1045 W Redondo Beach Blvd, #250, Gardena, CA 90247-4128 | 2007-07-30 |
| 1801918248 | Tim T. Tsukamoto | Pharmacist | 1045 W Redondo Beach Blvd, Suite 140, Gardena, CA 90247-4128 | 2007-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
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| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
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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.