Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Benjamin Shun Gandomani, MD

Individual provider Anesthesiology Physician · NPI 1386172518

Dr. Benjamin Shun Gandomani, MD is an Anesthesiology in San Diego, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (619) 543-5279
Fax: (619) 542-5424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Ne 13th St, Oklahoma City, OK 73104-5004 — (405) 271-4700

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A160143 (CA)

Record details

NPI number1386172518
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2017
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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