PEDIATRIC GASTROENTEROLOGY OF MONTEREY INC. (NPI# 1538490230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538490230 |
Entity Type | Organization |
Organization Name | PEDIATRIC GASTROENTEROLOGY OF MONTEREY INC. |
Practice Address |
1900 Garden Road Suite 110 Pediatric Group of Monterey Monterey CA 93940 |
Mailing Address |
Po Box 204 Pebble Beach CA 93953 |
Practice Telephone | 8316263259 |
Practice Fax Number | 8888601110 |
Mailing Telephone | 8316263259 |
Mailing Fax Number | 8888601110 |
Enumeration Date | 2010-01-19 |
Last Update Date | 2010-03-18 |
Authorized Official Name | DR. ANDERS KARL DAHLSTROM (PRESIDENT (OF CORPORATION)/CEO) |
Authorized Official Telephone | 8316263259 |
Authorized Official Credential | M.D. PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
A52400 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CALIFORNIA STATE LICENCE | A52400 | 01 |
Street Address |
1900 GARDEN ROAD SUITE 110 PEDIATRIC GROUP OF MONTEREY |
City | MONTEREY |
State | CA |
Zip Code | 93940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
Find all providers in zip 93940 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134531254 | Mary Catherine Sawh | Pediatrics | 1625 Stockton Blvd Ste 105, Sacramento, CA 95816-7098 | 2014-05-22 |
1477899474 | Thomas W Self | Pediatrics | 7514 Girard Ave Ste 1, La Jolla, CA 92037-5199 | 2012-12-19 |
1174882047 | Marwa Abu El Haija | Pediatrics | 3801 Sacramento St Ste 216, San Francisco, CA 94118 | 2012-05-11 |
1518251636 | Travis Loyd Piester | Pediatrics | 4650 W Sunset Blvd # Ms 76, Los Angeles, CA 90027-6062 | 2011-06-06 |
1235422197 | Emily Whang | Pediatrics | 10833 Le Conte Ave # 12-383, Los Angeles, CA 90095-2804 | 2011-05-25 |
1851616056 | Kelly Beth Haas | Pediatrics | 2516 Stockton Blvd Ste 367, Sacramento, CA 95817-2208 | 2010-03-30 |
1750562864 | Fadi G. Haddad, Md, Inc | Pediatrics | 1455 Montego, Suite 101, Walnut Creek, CA 94598 | 2007-11-16 |
1558490912 | Khyati Pravin Mehta | Pediatrics | 25845 Barton Rd Ste 101, Loma Linda, CA 92354-5300 | 2007-03-03 |
1841341427 | Walter Edward Benkert Sipe | Pediatrics | 500 Parnasus Ave, Box 0136, San Francisco, CA 94143-0136 | 2007-01-12 |
1679653000 | Beth Carter | Pediatrics | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2006-10-17 |
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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.