NPIMap

Organization Active NPI

Temecula Valley Digestive Disease Consultants a Medical Corporation

Doing business as United Gastroenterologists

  • Anesthesiology Physician
  • Fallbrook, CA
National Provider Identifier
1063858454
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
NA2772 Issued in CA
Legal business name
TEMECULA VALLEY DIGESTIVE DISEASE CONSULTANTS A MEDICAL CORPORATION
Doing business as
United Gastroenterologists
Practice address
521 E Elder St
Suite 104
Fallbrook, CA 92028-3081
Phone
(951) 566-5229
Fax
(951) 566-5554
NPI assigned
May 13, 2013
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. John Hong, M.D.
Title
Ceo
Phone
(951) 566-5229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NA3360 CA
Anesthesiology Physician 207L00000X NA2772 CA Primary

Addresses

Primary practice location

521 E Elder St
Suite 104
Fallbrook, CA 92028-3081

Mailing address

28078 Baxter Rd
Suite 530
Murrieta, CA 92563-1402
Phone (951) 566-5229

Other names 1

  • United Gastroenterologists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Temecula Valley Digesti5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1063858454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "SUITE 530",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-566-5229",
            "fax_number": "951-566-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST",
            "address_2": "SUITE 104",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283081",
            "telephone_number": "951-566-5229",
            "fax_number": "951-566-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY DIGESTIVE DISEASE CONSULTANTS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-566-5229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "NA3360",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "NA2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Gastroenterologists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.