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DR. BRIAN KIMKYONE GAW NPI 1457354391


NPI Information

NPI: 1457354391
Provider Name: DR. BRIAN KIMKYONE GAW
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D2017631

Address:
1669 W AVENUE J
SUITE 304
LANCASTER, CA
ZIP 93534
Phone: (661) 951-7888
Get Directions

DR. Brian Kimkyone Gaw is a pediatrics in Lancaster, CA with 42 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Brian Kimkyone Gaw NPI is 1457354391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1669 W AVENUE J
SUITE 304
LANCASTER, CA
ZIP 93534-866
Phone: (661) 951-7888
Fax: (661) 951-8889

The NPI 1457354391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2017631 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 1/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics28727KENTUCKYNo
2208000000XPediatricsA49005CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F30922MEDICARE UPIN
21541901MEDICARE ID-TYPE UNSPECIFIED
364287279MEDICAIDKENTUCKY
400A490050MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.