Active NPI
Innovative Gastroenterology Professional Corporation
- Gastroenterology Physician
- Los Angeles, CA
National Provider Identifier
1093637894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- INNOVATIVE GASTROENTEROLOGY PROFESSIONAL CORPORATION
- Practice address
- 8631 W 3Rd St Ste 1015
Los Angeles, CA 90048-5913 - Phone
- (310) 652-4472
- NPI assigned
- Jul 27, 2026
- Last updated
- Jul 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cameron Sikavi, MD
- Title
- Physician, Practice Owner
- Phone
- (310) 614-3897
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
8631 W 3Rd St Ste 1015
Los Angeles, CA 90048-5913
Mailing address
269 S Beverly Dr Ste 963
Beverly Hills, CA 90212-3851
Phone (310) 614-3897
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Torrance, CA
- NPI 1114303302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1093637894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S BEVERLY DR STE 963",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123851",
"telephone_number": "310-614-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST STE 1015",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485913",
"telephone_number": "310-652-4472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE GASTROENTEROLOGY PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-26",
"status": "A",
"authorized_official_last_name": "SIKAVI",
"authorized_official_first_name": "CAMERON",
"authorized_official_title_or_position": "PHYSICIAN, PRACTICE OWNER",
"authorized_official_telephone_number": "310-614-3897",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Deborah Innes-Gomberg
- Innovations Counseling Services
- Innovative Diagnostic Medical Group
- Innovative Dialysis Center of West Los Angeles, LLC (U.S. Renal Care West Los Angeles Dialysis)
- Innovative Dialysis Center of West Los Angeles, LLC (U.S. Renal Care la Cienega Home Dialysis)
- Innovative Medicine
- Innovative Orthopedic Medical Solutions
- Innovative Rehab. Inc
- Innovative Wellness Consulting
- Innovative Wellness Consulting
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.