SOUTHERN CALIFORNIA LIVER AND GI CENTER (NPI# 1346790870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346790870 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA LIVER AND GI CENTER |
| Practice Address |
468 Gibson Ave Pacific Grove CA 93950-4416 |
| Mailing Address |
675 Camino De Los Mares San Clemente CA 92673-2835 |
| Practice Telephone | 6198402720 |
| Mailing Telephone | 6195220399 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | DR. TAREK HASSANEIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6195220399 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11999 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
468 GIBSON AVE |
| City | PACIFIC GROVE |
| State | CA |
| Zip Code | 93950-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588167878 | Joseph C. Hutchinson Jr. | Massage Therapist | 505 Lighthouse Ave. (#104) Ca, Suite # 104, Pacific Grove, CA 93950 | 2018-03-13 |
| 1306274956 | Katherine Hoops | Speech-Language Pathologist | 170 17th St Ste B, Pacific Grove, CA 93950 | 2013-10-17 |
| 1568896918 | Dr Li Liu Acupuncture & Herbal Medicine | Acupuncturist | 311 Forest Ave., Suite B-2, Pacific Grove, CA 93950 | 2013-08-21 |
| 1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
| 1417224395 | David J Banks | Pharmacist | 1212 Forest Avenue, Pacific Grove, CA 93950 | 2011-11-21 |
| 1558643346 | Carolyn Bloye | Counselor | 207 16th St Ste 314, Pacific Grove, CA 93950 | 2011-09-16 |
| 1821327248 | David Craig Wright | Internal Medicine | 510 Lighthouse Ave Ste 6, Pacific Grove, CA 93950 | 2009-12-14 |
| 1558512350 | Rachel Evelyn Amerault | Counselor | 951 Blanco Cr Ste B, Salinas, CA 93950 | 2008-10-10 |
| 1629237664 | David Randall Simonds | Marriage & Family Therapist | 621 Forest Avenue, Pacific Grove, CA 93950 | 2008-06-05 |
| 1942410311 | Barbara Carroll Robinson | Marriage & Family Therapist | 311c Forest Ave, Pacific Grove, CA 93950 | 2007-05-23 |
| Find all providers in zip 93950 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225469612 | Nicole Curtis | Nurse Practitioner | 220 Country Club Gate Ctr Ste 27, Pacific Grove, CA 93950-5014 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC GROVE |
| Zip Code | 93950 |
Please comment or provide details below to improve the information on SOUTHERN CALIFORNIA LIVER AND GI CENTER.
| 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.