1. Home
  2. Directory
  3. California
  4. Gardena
  5. Otolaryngology
  6. NPI Profile

GARY E FORD M.D.,(A PROFESSIONAL CORPORATION)
NPI 1336324805
Otolaryngology in Gardena, CA

Active since January 03, 2008
1045 W REDONDO BEACH BLVD, SUITE 575, GARDENA, CA 90249(310) 329-8633(408) 418-4605 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gary E Ford M.d.,(a Professional Corporation) NPPES

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

GARY E FORD M.D.,(A PROFESSIONAL CORPORATION) (NPI 1336324805) is a healthcare organization registered as an otolaryngology in Gardena, California and active in the NPI registry since January 2008. The organization lists Gary Eugene Ford, President, as its authorized official.

NPPES Registry Identity

NPI1336324805
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameGARY E FORD M.D.,(A PROFESSIONAL CORPORATION)
Location Address1045 W REDONDO BEACH BLVD, SUITE 575Gardena, CA 90249-4128
Mailing Address1045 W Redondo Beach Blvd, Suite 575Gardena, CA 90249-4128 · (310) 329-8633 · Fax (310) 329-8636
Phone(310) 329-8633
Fax(408) 418-4605
Organization SubpartNo
Authorized OfficialGary Eugene FordPresident · (310) 382-8633
Enumeration DateJanuary 3, 2008
Last NPPES UpdateJuly 3, 2014
✔ NPI 1336324805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · G36302
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1045 W REDONDO BEACH BLVD, Gardena, CA 90249
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINE49227CA
OtherG36302CA · State License
Medicaid00G363021CA
Medicare PINW18949CA

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary E Ford M.d.,(a Professional Corporation) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050705000800Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gary E Ford M.D.,(a Professional Corporation), which bills Medicare for the services this clinician delivers.

Clinician (1)

Gary Ford, M.D.
Otolaryngology
NPI 1780634022
1045 W REDONDO BEACH BLVD SUITE 575
Gardena, CA 90247
(310) 329-8633
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gary E Ford M.D.,(a Professional Corporation)'s NPI number?

The NPI number for Gary E Ford M.D.,(a Professional Corporation) is 1336324805. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Gary E Ford M.D.,(a Professional Corporation) located?

Gary E Ford M.D.,(a Professional Corporation) is located at 1045 W Redondo Beach Blvd Suite 575, Gardena, CA 90249. The listed phone number is (310) 329-8633.

What is Gary E Ford M.D.,(a Professional Corporation)'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Gary E Ford M.D.,(a Professional Corporation) enrolled in Medicare?

Yes. Gary E Ford M.D.,(a Professional Corporation) is registered in the Medicare PECOS enrollment system.

When is Gary E Ford M.D.,(a Professional Corporation)'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gary E Ford M.D.,(a Professional Corporation)?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Gary E Ford M.D.,(a Professional Corporation). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gary E Ford M.D.,(a Professional Corporation) was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.