GARY E FORD M.D.,(A PROFESSIONAL CORPORATION) (NPI# 1336324805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336324805 |
| Entity Type | Organization |
| Organization Name | GARY E FORD M.D.,(A PROFESSIONAL CORPORATION) |
| Practice Address |
1045 W Redondo Beach Blvd Suite 575 Gardena CA 90249-4128 |
| Practice Telephone | 3103298633 |
| Practice Fax Number | 4084184605 |
| Mailing Telephone | 3103298633 |
| Mailing Fax Number | 3103298636 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | DR. GARY EUGENE FORD (PRESIDENT) |
| Authorized Official Telephone | 3103828633 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G36302 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G363021 | 05 | |
| CA | STATE LICENSE | G36302 | 01 |
| Street Address |
1045 W REDONDO BEACH BLVD SUITE 575 |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-4128 |
| 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 |
| 1750560710 | Sanford H Gaynor, M.d.,inc. | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 115, Gardena, CA 90247-4128 | 2007-10-26 |
| 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 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780634022 | Gary E Ford | Otolaryngology | 1045 W Redondo Beach Blvd, Suite 575, Gardena, CA 90247-4128 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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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.