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OMRAN GDARA MD
NPI 1013658947
Emergency Medicine in Lakewood, CA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
3700 SOUTH ST, LAKEWOOD, CA 90712(562) 272-6588 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Omran Gdara Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMRAN GDARA MD (NPI 1013658947) is an individual emergency medicine provider in Lakewood, California, licensed in California (A189570) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2022).

NPPES Registry Identity

NPI1013658947
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameOMRAN GDARACredential: MD
Location Address3700 SOUTH STLakewood, CA 90712-1419
Mailing Address11234 Anderson Street, Gme Office Westerly Suite CLoma Linda, CA 92354-2804
Phone(562) 272-6588
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1013658947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A189570
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3700 SOUTH ST, Lakewood, CA 90712
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Other Identifiers 1

Medicaid91082029GCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omran Gdara Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850807199
PECOS Enrollment IDI20250723000803
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS NGUYEN
Pharmacist
3700 SOUTH ST
LAKEWOOD, CA 90712
Los Angeles County (562) 602-6806
KRISTIN LYN BAGIU LM, RN, NP-C
Nurse Practitioner
3700 SOUTH ST
LAKEWOOD, CA 90712
Los Angeles County (562) 531-2550
MARVIN FIELDS M.D.
Radiology (Diagnostic Radiology)
3700 SOUTH ST
LAKEWOOD, CA 90712
Los Angeles County (562) 531-2550
DR. STEVE JAMES ZIELINSKI D.O.
Emergency Medicine
3700 SOUTH ST
LAKEWOOD, CA 90712
Los Angeles County (562) 602-6800
CEP AMERICA-CALIFORNIA
Emergency Medicine
3700 SOUTH ST
LAKEWOOD, CA 90712
Los Angeles County (562) 531-2550
DR. NORMAN BRUCE JETTON MD
Emergency Medicine
3700 SOUTH ST
LAKEWOOD, CA 90712
Los Angeles County (562) 602-6800
DR. MONICA D SERNA MD
Emergency Medicine
3700 SOUTH ST
LAKEWOOD, CA 90712
Los Angeles County (562) 602-6800
UNIVERSITY OF CALIFORNIA IRVINE
General Acute Care Hospital
3700 SOUTH ST
LAKEWOOD, CA 90712
Los Angeles County (562) 531-2550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omran Gdara's NPI number?

The NPI number for Omran Gdara is 1013658947. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Omran Gdara located?

Omran Gdara practices at 3700 South St, Lakewood, CA 90712. The listed phone number is (562) 272-6588.

What is Omran Gdara's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Omran Gdara enrolled in Medicare?

Yes. Omran Gdara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Omran Gdara was last updated on August 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.