SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES (NPI# 1578621199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578621199 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES |
| Other Organization Name | DENISON, GOODMAN, EPSTEN & HAYNES MEDICAL CORPORATION |
| Practice Address |
4060 4th Ave Suite 240 San Diego CA 92103-2116 |
| Practice Telephone | 6192916064 |
| Practice Fax Number | 6192913078 |
| Mailing Telephone | 6192916064 |
| Mailing Fax Number | 6192913078 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | DR. ROBERT M EPSTEN JR. (PRESIDENT) |
| Authorized Official Telephone | 6192916064 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G46179 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Denison, Goodman, Epsten & Haynes Medical Corporation | Doing Business As Name - Organization |
| Street Address |
4060 4TH AVE SUITE 240 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525299 | John Paul Molenaar | Audiologist | 4060 4th Ave, Ste 410a, San Diego, CA 92103-2121 | 2005-06-01 |
| 1598391740 | Sheena Lee Hays | Registered Nurse | 4060 4th Ave, San Diego, CA 92103-2116 | 2020-03-19 |
| 1336645324 | Kiyon Chung Md, Apc | Internal Medicine | 4060 4th Ave, Suite 650, San Diego, CA 92103-2121 | 2018-03-30 |
| 1003260894 | Erin Dwyer | Nurse Practitioner | 4060 4th Ave, Suite 310, San Diego, CA 92103-2116 | 2016-04-18 |
| 1336515642 | Leslie Monagle | Physical Therapist | 4060 4th Ave, Suite 206, San Diego, CA 92103-2116 | 2015-08-20 |
| 1598008583 | Stewart L. Frank Md, Inc. | Non-Pharmacy Dispensing Site | 4060 4th Ave, Suite 605, San Diego, CA 92103-2116 | 2013-03-28 |
| 1912269945 | Kennie Kwok | Dentist | 4060 4th Ave, Suite 303, San Diego, CA 92103-2116 | 2012-06-14 |
| 1124391974 | Central San Diego Surgery Center Inc. | Clinic/Center | 4060 4th Ave, Suite #120, San Diego, CA 92103-2116 | 2012-02-09 |
| 1366734220 | Joey Allen Clayton | Physician Assistant | 4060 4th Ave, Suite 700, San Diego, CA 92103-2116 | 2011-05-11 |
| 1578869772 | Jason R Hess Plastic Surgery Inc | Surgery | 4060 4th Ave, Suite 120, San Diego, CA 92103-2116 | 2011-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932429842 | Veeral Haresh Ajmera | Internal Medicine | 4168 Front St Fl 2, San Diego, CA 92103-2030 | 2010-06-03 |
| 1033434071 | Cainan Foltz | Internal Medicine | 8008 Frost St Ste 200, San Diego, CA 92123-4207 | 2010-04-01 |
| 1750618765 | Golden Coast Management Inc | Internal Medicine | 4809 Clairemont Dr, Ste 302, San Diego, CA 92117-2706 | 2009-11-11 |
| 1538334974 | Alexander Shpaner | Internal Medicine | 6719 Alvarado Rd Ste 206, San Diego, CA 92120-5261 | 2008-04-27 |
| 1447464912 | Ivan Cubas | Internal Medicine | 292 Euclid Ave Ste 115, San Diego, CA 92114-3629 | 2007-05-10 |
| 1992892707 | Vijayalakshmi S Pratha | Internal Medicine | 3330 3rd Ave Ste 304, San Diego, CA 92103-5639 | 2006-10-05 |
| 1730270380 | Tuan Nguyen | Internal Medicine | 4141 Fairmount Ave, Suite #201, San Diego, CA 92105-1609 | 2006-09-27 |
| 1063522613 | Daniel Young Lee | Internal Medicine | 8008 Frost St., #200, San Diego, CA 92123-4205 | 2006-08-30 |
| 1972569713 | Thomas Anthony Rauner | Internal Medicine | 4020 Fifth Ave, San Diego, CA 92103-2106 | 2006-04-21 |
| 1225019300 | Norman J Goldberg | Internal Medicine | Va Medical Center 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2005-11-07 |
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| 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.