Organization Active NPI

Long Beach Gastroenterology Associates

  • Gastroenterology Physician
  • Long Beach, CA
National Provider Identifier
1003829797
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LONG BEACH GASTROENTEROLOGY ASSOCIATES
Practice address
3833 Worsham Ave
Suite 300
Long Beach, CA 90808-1766
Phone
(562) 595-5421
Fax
(562) 426-2862
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Kalpana Patel, M.D
Title
MD, Partner
Phone
(562) 595-5421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3833 Worsham Ave
Suite 300
Long Beach, CA 90808-1766

Mailing address

3833 Worsham Ave
Suite 300
Long Beach, CA 90808-1766
Phone (562) 595-5421

Other identifiers 2

IdentifierTypeStateIssuer
W5009MedicaidCA
GR0058960MedicaidCA

Other names 1

  • Long Beach Gastroenterology Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Long Beach Gastro Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7677 Center Ave
Ste 201
Huntington Beach, CA 92647

10931 Cherry St
Ste 300
Los Alamitos, CA 90720
Phone (562) 493-1011

500 N Garfield Ave
Ste 107
Monterey Park, CA 91754
Phone (626) 280-3003

500 N Garfield Ave
Unit 1075
Monterey Park, CA 91754

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70102

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1003829797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 WORSHAM AVE",
            "address_2": "SUITE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081766",
            "telephone_number": "562-595-5421",
            "fax_number": "562-426-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 WORSHAM AVE",
            "address_2": "SUITE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081766",
            "telephone_number": "562-595-5421",
            "fax_number": "562-426-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KALPANA",
        "authorized_official_title_or_position": "MD, PARTNER",
        "authorized_official_telephone_number": "562-595-5421",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W5009",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0058960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Gastroenterology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Long Beach Gastroenterology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.