GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA


Address: 16311 Ventura Blvd., Suite 925, Encino, CA 98143
Phone: 2134835940

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0064560 05

Other Provider IDs and Locations

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

Office Location

Street Address 16311 VENTURA BLVD.
SUITE 925
City ENCINO
State CA
Zip Code 98143

Providers in the same location

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

Providers in the same city

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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

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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
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1780217489 La Laser Center PC, A Professional Medical Corporation Clinic/Center 621 W Line St Ste 105, Bishop, CA 93514-3320 2020-02-20
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Competitor

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City ENCINO
Zip Code 98143

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Dataset Information

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.

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