My Gastro Wellness. LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MY GASTRO WELLNESS. LLC

Practice address

22110 Roscoe Blvd
Suite 201
Canoga Park, CA 91304-3861

Phone

(747) 204-4177

Fax

(818) 431-8283

NPI assigned

Dec 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Norma Simmons

Title

Manager

Phone

(805) 996-0456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cameron Solaman Sikavi, MD

  • Gastroenterology Physician
  • Torrance, CA
  • NPI 1114303302
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1003685249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043861",
            "telephone_number": "747-204-4177",
            "fax_number": "818-431-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043861",
            "telephone_number": "747-204-4177",
            "fax_number": "818-431-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GASTRO WELLNESS. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-996-0456",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Murillo
• Kelly Murillo
• Louis J Murillo, MSW
• Samantha Murphy
• Elvis Murray
• Kyle Myers
• Mynp Now Professional Nursing Inc.
• Nabizadeh Dental Group Apc
• Michael Ross Nadell, C.P.O.
• Daniel Nah

• Gastroenterology Physician in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.