Gastrointestinal Assoc a Medical Group Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROINTESTINAL ASSOC A MEDICAL GROUP INC

Practice address

555 E Tachevah Dr
Suite #1E-104
Palm Springs, CA 92262-5750

Phone

(760) 325-7601

Fax

(760) 325-4281

NPI assigned

Oct 3, 2006

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian M Cleary, MDNPI 1972697829

Title

Owner

Phone

(760) 325-7601

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian M Cleary, MD

  • Gastroenterology Physician
  • Palm Springs, CA
  • NPI 1972697829
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1023102969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR",
            "address_2": "#1E-104",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR",
            "address_2": "SUITE #1E-104",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625750",
            "telephone_number": "760-325-7601",
            "fax_number": "760-325-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL ASSOC A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-325-7601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ89111Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Garten
• Gary a Levinson MD a Professional Corporation
• Gary Greene, LMFT
• Gary Y. Huang, MD a Professional Corporation
• Anna Gasparyan, MD
• Terry Lane Gatewood, L.C.S.W
• Michael R Gatto, M.D.
• Donna Gaudsmith
• Samantha Gaunt
• Marvin Gaurino, CRNA

• Gastroenterology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.