GASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL (NPI# 1013048461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013048461 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL |
| Other Organization Name | GASTROENTEROLOGY DIAGNOSTIC CENTER |
| Practice Address |
880 S Atlantic Blvd Suite G 10 Monterey Park CA 91754-4700 |
| Mailing Address |
880 S Atlantic Blvd #g 10 Monterey Park CA 91754-4700 |
| Practice Telephone | 6268726261 |
| Practice Fax Number | 6268721948 |
| Mailing Telephone | 6268726261 |
| Mailing Fax Number | 6268721948 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | FERNANDO IBARRA (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6268726261 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gastroenterology Diagnostic Center | Doing Business As Name - Organization |
| Street Address |
880 S ATLANTIC BLVD SUITE G 10 |
| City | MONTEREY PARK |
| State | CA |
| Zip Code | 91754-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088933 | Sonia Carmen Smith | Nurse Practitioner | 880 S Atlantic Blvd, Monterey Park, CA 91754-4700 | 2005-07-29 |
| 1134662182 | Rachel Ma | Dentist | 880 S Atlantic Blvd, Suite 307, Monterey Park, CA 91754-4700 | 2016-11-23 |
| 1750784591 | Tara Martinez | Physical Therapist | 880 S Atlantic Blvd, Suite 203, Monterey Park, CA 91754-4700 | 2014-10-08 |
| 1205176005 | Los Angeles Center for Orthopedics | Specialist | 880 S Atlantic Blvd, Suite 205, Monterey Park, CA 91754-4700 | 2013-02-15 |
| 1932455789 | Associated Hispanic Physicians Medical Group Inc | Clinic/Center | 880 S Atlantic Blvd, Suite 302, Monterey Park, CA 91754-4700 | 2012-07-31 |
| 1629201611 | Digestive Disease & Endoscopy Consultants | Specialist | 880 S Atlantic Blvd, G10, Monterey Park, CA 91754-4700 | 2009-08-25 |
| 1679736268 | Luk Bhava Medical Corporation | Clinic/Center | 880 S Atlantic Blvd, Suite 307, Monterey Park, CA 91754-4700 | 2008-07-03 |
| 1417159328 | Renu Tan | Dentist | 880 S Atlantic Blvd, Suite 307, Monterey Park, CA 91754-4700 | 2007-06-03 |
| 1629110820 | Health Care Partners, Inc. | Non-Pharmacy Dispensing Site | 880 S Atlantic Blvd, Suite101, Monterey Park, CA 91754-4700 | 2007-02-13 |
| 1942347612 | Ronald E. Bishop Md Inc. | Anesthesiology | 880 S Atlantic Blvd, Suite 205, Monterey Park, CA 91754-4700 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023670734 | New Hope Medical Center | Acupuncturist | 939 S Atlantic Blvd, Suit 107, Monterey Park, CA 91754 | 2019-07-02 |
| 1326574302 | Jo Ann Dorothy I | Chiropractor | 257 W. Pomona Blvd, Monterey Park, CA 91754 | 2017-05-11 |
| 1134575517 | Julie Riesz Desmond | Pediatrics | 2000 Longhill Dr., Monterey Park, CA 91754 | 2016-05-04 |
| 1023480902 | Exporter Associates | Durable Medical Equipment & Medical Supplies | 855 W El Repetto Dr Unit 11c, Monterey Park, CA 91754 | 2015-10-30 |
| 1366889784 | Jane Chi Fan, Mft. Inc | Marriage & Family Therapist | 941 S. Atlantic Blvd., Suite 221, Monterey Park, CA 91754 | 2013-05-24 |
| 1740597574 | Stephen Wesley Pope | Contractor | 3800 Concours, Suite 350, Ontario, CA 91754 | 2010-08-31 |
| 1447573324 | Sok-yin Leung | Pediatrics | 748 Rodman Circle, Monterey Park, CA 91754 | 2010-03-08 |
| 1568601151 | Jenny Pei Liu, D.d.s., Inc. | Dentist | 2071 S. Altantic Blvd., #f&g, Monterey Park, CA 91754 | 2009-02-05 |
| 1609027770 | Cali Ho | Occupational Therapist | 600 N. Garfield Ave., Monterey Park, CA 91754 | 2008-10-07 |
| 1588812358 | Eric A Garcia | Dentist | 1900 So Atlantic Blvd, Suite 1, Monterey Park, CA 91754 | 2008-09-04 |
| Find all providers in zip 91754 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912239062 | Atlantic Surgical Center, LLC | Clinic/Center | 850 S Atlantic Blvd Ste 104, Monterey Park, CA 91754-6704 | 2010-01-30 |
| 1629111430 | Monterey Park Outpatient Surgery Center Inc | Clinic/Center | 201 W Garvey Ave, Ste. 201, Monterey Park, CA 91754-7418 | 2007-02-14 |
| 1699703991 | Plaza Surgical Medical Center | Clinic/Center | 850 S Atlantic Blvd, Suite 201, Monterey Park, CA 91754-4730 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | MONTEREY PARK |
| Zip Code | 91754 |
Please comment or provide details below to improve the information on GASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.