Gnosis Geriatric Wellcare Center Inc
NPI 1962145029ActiveOrganization· Family Medicine· Garden Grove, CA
Family Medicine in Garden Grove, California, registered in NPPES in April 2022. The authorized official on file is Gerardo Canchola, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962145029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2022 |
| Last updated in NPPES | Apr 16, 2023 |
| Certified by provider | Apr 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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