GARY K MO (NPI# 1366550576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366550576 |
| Entity Type | Individual |
| Full Name | GARY K MO |
| Credential | MD |
| Practice Address |
2438 Ponderosa Dr N C201 Camarillo CA 93010 |
| Practice Telephone | 8054848479 |
| Practice Fax Number | 8053830340 |
| Mailing Telephone | 8054848479 |
| Mailing Fax Number | 8053830340 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G37161 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2438 PONDEROSA DR N C201 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255530622 | Randel Dale Hermans | Dentist | 2438 Ponderosa Dr N, C-111, Camarillo, CA 93010 | 2007-07-16 |
| 1265540470 | Prithvi R Sharma | Internal Medicine | 2438 Ponderosa Dr N, C201, Camarillo, CA 93010 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891292850 | Naveen Sharma, Md Inc A Professional Corporation | Internal Medicine | 2438 N Ponderosa Dr Ste C201, Camarillo, CA 93010-2374 | 2018-04-06 |
| 1164819769 | Christopher W. Loh Md Apc | Internal Medicine | 2438 N Ponderosa Dr, Suite C201, Camarillo, CA 93010-2369 | 2015-04-21 |
| 1497182497 | Heng Medical, Inc | Internal Medicine | 500 Paseo Camarillo, Suite 100, Camarillo, CA 93010-5900 | 2013-10-04 |
| 1982817458 | Michael Thurman Jamison | Internal Medicine | 3901 Las Posas Rd, Suite 100, Camarillo, CA 93010-1501 | 2007-05-08 |
| 1548392871 | Michael Thurman Jamison | Internal Medicine | 3901 Las Posas Rd, Suite 100, Camarillo, CA 93010-1501 | 2007-03-12 |
| 1275641482 | Christopher W Loh | Internal Medicine | 2438 N Ponderosa Dr, Suite C201, Camarillo, CA 93010-2369 | 2006-08-28 |
| 1265540470 | Prithvi R Sharma | Internal Medicine | 2438 Ponderosa Dr N, C201, Camarillo, CA 93010 | 2006-08-28 |
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| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
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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.