Organization Active NPI

North Valley G.I. Consultants

  • Gastroenterology Physician
  • Simi Valley, CA
National Provider Identifier
1093987539
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NORTH VALLEY G.I. CONSULTANTS
Doing business as
North Valley G.I. Consultants
Practice address
1156 Swallow LN
Simi Valley, CA 93065-3154
Phone
(805) 526-6016
Fax
(805) 791-3992
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mahendra N. Patel, M.D.NPI 1801833561
Title
Managing Partner
Phone
(805) 526-6016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1156 Swallow LN
Simi Valley, CA 93065-3154

Mailing address

1156 Swallow LN
Simi Valley, CA 93065-3154
Phone (805) 526-6016

Other names 1

  • North Valley G.I. Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081224000080 CA Part B Supplier - Clinic/Group Practice 7719049873 Receives reassigned benefits from 2 practitioners
Practice locations: Granada Hills, CA; Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

23823 Valencia Blvd
Ste 210
Valencia, CA 91355
Phone (661) 222-7333

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1093987539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 SWALLOW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653154",
            "telephone_number": "805-526-6016",
            "fax_number": "805-791-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 SWALLOW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653154",
            "telephone_number": "805-526-6016",
            "fax_number": "805-791-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY G.I. CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "805-526-6016",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Valley G.I. Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.