Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. GREGORY ALEXANDER GANDARILLAS DO
NPI 1154071579
Internal Medicine in Philadelphia, PA

Active since March 28, 2022
4190 CITY AVE, PHILADELPHIA, PA 19131(786) 385-6968 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gregory Alexander Gandarillas Do NPPES

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

DR. GREGORY ALEXANDER GANDARILLAS DO (NPI 1154071579) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Florida (OS23768) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1154071579
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GREGORY ALEXANDER GANDARILLASCredential: DO
Location Address4190 CITY AVEPhiladelphia, PA 19131-1626
Mailing Address7191 Bamboo CtMiami Lakes, FL 33014-2937 · (786) 385-6968
Sole ProprietorYes
Enumeration DateMarch 28, 2022
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1154071579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · OS23768
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4190 CITY AVE, Philadelphia, PA 19131

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Internal Medicine (Rheumatology)
4190 CITY AVE, SUITE 330
PHILADELPHIA, PA 19131
Obstetrics & Gynecology
4190 CITY AVE, STE 315
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Family Medicine
4190 CITY AVE, SUITE 100
PHILADELPHIA, PA 19131
Psychologist (Clinical)
4190 CITY AVE, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, RH226
PHILADELPHIA, PA 19131
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154071579, enumerated as an "individual" on March 28, 2022.

The provider is located at 4190 CITY AVE PHILADELPHIA, PA 19131 and the phone number is (786) 385-6968.

Internal Medicine with taxonomy code 207R00000X.