PALOMAR POMERADO GASTROENTEROLOGY MEDICAL GROUP, INC. (NPI# 1609903822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609903822 |
| Entity Type | Organization |
| Organization Name | PALOMAR POMERADO GASTROENTEROLOGY MEDICAL GROUP, INC. |
| Practice Address |
225 E 2nd Ave Suite 340 Escondido CA 92025-4212 |
| Practice Telephone | 7604890908 |
| Practice Fax Number | 7604890962 |
| Mailing Telephone | 7604890908 |
| Mailing Fax Number | 7604890962 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-10-29 |
| Authorized Official Name | DR. MARK LELAND KADDEN (PRESIDENT) |
| Authorized Official Telephone | 7604890908 |
| 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 |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0042800 | 05 |
| Street Address |
225 E 2ND AVE SUITE 340 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931233 | Kevin Lee Metros | Orthopaedic Surgery | 225 E 2nd Ave, Suite 260, Escondido, CA 92025-4212 | 2005-06-08 |
| 1679828438 | Mariette A Macrander | Family Medicine | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2012-07-18 |
| 1588959555 | Ingrid Alicia Stabinski | Physician Assistant | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2011-06-17 |
| 1932415072 | Natalie Rose Higgins | Physician Assistant | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2010-08-26 |
| 1245545581 | Bethany M Walkins | Nurse Practitioner | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2010-08-11 |
| 1285954941 | Kandan Baban | Internal Medicine | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2010-06-04 |
| 1720231863 | Sandor Tzu-sheng Lin | Physician Assistant | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2008-11-03 |
| 1811146954 | Elizabeth Ann Liebenberg | Physical Therapist | 225 E 2nd Ave, #320, Escondido, CA 92025-4212 | 2008-09-13 |
| 1134377633 | Sarina Adhikary Sharma | Family Medicine | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2008-09-09 |
| 1548417751 | Ghafar Nafes | Family Medicine | 225 E 2nd Ave, Ste. 101, Escondido, CA 92025-4212 | 2008-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
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| 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 |
|---|---|---|---|---|
| 1326228537 | Ronald E Feldman Md Inc | Internal Medicine | 488 E Valley Pkwy Ste 313, Escondido, CA 92025-3375 | 2007-11-06 |
| 1336606243 | Gastroenterology and Liver Institute PC | Internal Medicine | 661 E Pennsylvania Ave, Escondido, CA 92025-3003 | 2019-02-27 |
| 1124500715 | Nano PC | Internal Medicine | 661 E Pennsylvania Ave, Escondido, CA 92025-3003 | 2018-08-30 |
| 1528235892 | Haritha Reddy Chelimilla | Internal Medicine | 735 E Ohio Ave, Suite 204, Escondido, CA 92025-3437 | 2008-05-14 |
| 1942406533 | Naveen Gara | Internal Medicine | 661 E Pennsylvania Ave, Escondido, CA 92025-3003 | 2007-06-21 |
| 1497816912 | Maram F Zakko, Md Inc | Internal Medicine | 488 E Valley Pkwy, Ste 106, Escondido, CA 92025-3363 | 2006-12-12 |
| 1962448498 | Ronald E Feldman | Internal Medicine | 488 E Valley Pkwy, Ste. #313, Escondido, CA 92025-3363 | 2006-06-22 |
| 1093784597 | Mark Leland Kadden | Internal Medicine | 225 E 2nd Ave, Suite 340, Escondido, CA 92025-4245 | 2006-03-16 |
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| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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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.