GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA (NPI# 1659583847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659583847 |
Entity Type | Organization |
Organization Name | GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA |
Practice Address |
16311 Ventura Blvd. Suite 925 Encino CA 98143 |
Mailing Address |
201 S. Alvarado St. Suite 707 Los Angeles CA 90057-2320 |
Practice Telephone | 2134835940 |
Practice Fax Number | 2134839084 |
Mailing Telephone | 2134835940 |
Mailing Fax Number | 2134839084 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MORDO SUCHOV (MANAGING PARTNER) |
Authorized Official Telephone | 2134835940 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0064560 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609088863 | Gastroenterology Associates of Southern California | Clinic/Center | 101 Beverly Blvd., Suite 400, Montebello, CA 90640 | 2007-05-03 |
1245442433 | Gastroenterology Associates of Southern California | Clinic/Center | 222w. Eulalia St., Suite 301, Glendale, CA 91204 | 2007-05-03 |
1457563629 | Gastroenterology Associates of Southern California | Clinic/Center | 1701 Cesar Chavez Blvd., Suite 307, Los Angeles, CA 90033 | 2007-05-03 |
1235342916 | Gastroenterology Associates of Southern California | Clinic/Center | 201 S. Alvarado St., Suite 828, Los Angeles, CA 90057-2320 | 2007-05-08 |
1275686818 | Gastroenterology Associates of Southern California | Internal Medicine | 201 S Alvarado St, Suite 707, Los Angeles, CA 90057-2320 | 2007-01-18 |
Street Address |
16311 VENTURA BLVD. SUITE 925 |
City | ENCINO |
State | CA |
Zip Code | 98143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891844643 | California Psychological Associates | Psychologist | 16311 Ventura Blvd., Suite 1050, Encino, CA 91436 | 2007-01-10 |
1457822298 | Avani Outpatient Surgical Center, Inc. | Anesthesiology | 16311 Ventura Blvd., #710, Encino, CA 91436 | 2018-12-05 |
1285822973 | Barry Halote I | Psychologist | 16311 Ventura Blvd., Suite #1050, Encino, CA 91436 | 2007-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497356398 | Lourdes Loyola | Marriage & Family Therapist | 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 | 2020-11-06 |
1649870205 | 911 Home Care, Inc. | Home Health | 15826 Ventura Blvd Ste 222, Encino, CA 91436-5226 | 2020-10-31 |
1477153039 | Hospice Care, Inc. | Hospice Care, Community Based | 15826 Ventura Blvd Ste 223, Encino, CA 91436-4770 | 2020-10-31 |
1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
1760081210 | Dedicated Home Health Care, Inc | Home Health | 17815 Ventura Blvd Ste 211, Encino, CA 91316-3610 | 2020-10-25 |
1669071056 | Habko Home Health Care, Inc. | Home Health | 15720 Ventura Blvd Ste 235, Encino, CA 91436-2914 | 2020-10-19 |
1740889955 | Danielle Anderson | Massage Therapist | 5460 White Oak Ave Unit K202, Encino, CA 91316-4599 | 2020-10-19 |
1922606409 | Ms Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 5435 Balboa Blvd Ste 204, Encino, CA 91316-1572 | 2020-10-15 |
1326645672 | Impact Home Health Care Inc | Home Health | 16430 Ventura Blvd Ste 202a, Encino, CA 91436-2125 | 2020-10-08 |
Find all providers in ENCINO |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588286603 | Tri Health Medical Institute Management Company LLC | Clinic/Center | 17777 Ventura Blvd Ste 100, Encino, CA 91316-3738 | 2020-05-12 |
1962926147 | Spine Restoration A Medical Corporation | Clinic/Center | 16030 Ventura Blvd Ste 400, Encino, CA 91436-2778 | 2017-07-31 |
1831573815 | E. Tsimerinov, Md Neurology, Inc. | Clinic/Center | 17777 Ventura Blvd, Suite 137, Encino, CA 91316-3736 | 2015-07-19 |
1558635771 | Stephen J Friedman, Md PC | Clinic/Center | 16255 Ventura Blvd, Suite 120, Encino, CA 91436-2302 | 2012-03-06 |
1639343460 | Masoud Sadighpour, Md A Medical Corporation | Clinic/Center | 16542 Ventura Blvd, 302, Encino, CA 91436-2005 | 2008-04-14 |
1497807184 | Pediatric Gastroenterology Medical Center, Inc. | Clinic/Center | 16661 Ventura Blvd, Suite 613, Encino, CA 91436-1914 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
1669007274 | Hough Chiropractic Inc | Clinic/Center | 11770 Warner Ave Ste 122, Fountain Valley, CA 92708-2660 | 2020-03-04 |
1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
1003440884 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 | 2020-03-02 |
1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
1003449703 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 3105 Mchenry Ave Ste 101, Modesto, CA 95350-1439 | 2020-02-20 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA.
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.