Talya MD Corp

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

TALYA MD CORP

Doing business as

Norcal Pediatric Gi

Practice address

8303 Moss CT
Granite Bay, CA 95746-7320

Phone

(916) 899-1123

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Julia M Smith

Title

Billing Manager

Phone

(707) 628-8799

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORCAL PEDIATRIC GI Doing business as

Electronic endpoints 2

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, and the practitioner matching its NPPES authorized official.

• Edward Daniel Talya, M.D.

  • Pediatric Gastroenterology Physician
  • Orangevale, CA
  • NPI 1659687994
  Medicare reassignment NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1033857578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9288 MADISON AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956625857",
            "telephone_number": "916-899-1123",
            "fax_number": "916-510-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 MOSS CT",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957467320",
            "telephone_number": "916-899-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALYA MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "707-628-8799"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A123964",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norcalgi15@gmail.com",
            "affiliation": "N",
            "address_1": "9288 Madison Ave",
            "city": "Orangevale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956625857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "norcalgi15@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9288 Madison Ave",
            "city": "Orangevale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956625857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NORCAL PEDIATRIC GI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORCAL PEDIATRIC GI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Gastroenterology Physician in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.