Sierra Gastroenterology

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SIERRA GASTROENTEROLOGY

Practice address

44725 10TH St W
Ste 250
Lancaster, CA 93534-3033

Phone

(310) 348-0500

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Steven Garrett

Title

Billing Manager

Phone

(310) 348-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Semoorthy MD Inc2 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.

• Sierra Gastroenterology

  • Specialist
  • Lancaster, CA
  • NPI 1992713085
  NPD tax ID

Locations

Practitioners 1

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

• Edward Tze Wong, M.D.

  • Gastroenterology Physician
  • Lancaster, CA
  • NPI 1679559157
  Medicare reassignment NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1083830962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W",
            "address_2": "STE 250",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W",
            "address_2": "STE 250",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343033",
            "telephone_number": "310-348-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-348-0500"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0024400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janeth Sta Barbara Sicam, PHYSICAL THERAPISTS
• Donald Eugene Sicher, P.A.-C
• Shahid N Siddiqui, MD
• Qanwarpartap S Sidhu, MD
• Sierra Educational Advancement Corporation (Learn4Life)
• Sierra Gastroenterology
• Sierra Medical Group Holding Company, Inc. (Sierra Medical Group)
• Sierra Primary Care Medical Group (Sierra Medical Group)
• Sonia Rae Sierra
• Tiara E Sigaran, MPH

• Gastroenterology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.