NPIMap

Organization Active NPI

Los Angeles Integrative Gastroenterology & Nutrition, Inc.

Doing business as Los Angeles Integrative Gastroenterology & Nutrition

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1104058932
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A 38265 Issued in CA
Legal business name
LOS ANGELES INTEGRATIVE GASTROENTEROLOGY & NUTRITION, INC.
Doing business as
Los Angeles Integrative Gastroenterology & Nutrition
Practice address
2080 Century Park E
Suite 1804
Los Angeles, CA 90067-2001
Phone
(310) 289-8000
Fax
(310) 553-5590
NPI assigned
Aug 12, 2009
Last updated
Feb 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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

Authorized official

Name
Dr. Farshid Sam Rahbar, MD, FACPNPI 1780606061
Title
President
Phone
(310) 289-8000

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X A 38265 CA Primary

Addresses

Primary practice location

2080 Century Park E
Suite 1804
Los Angeles, CA 90067-2001

Mailing address

2080 Century Park E
Suite 1804
Los Angeles, CA 90067-2001
Phone (310) 289-8000

Other names 1

  • LOS ANGELES INTEGRATIVE GASTROENTEROLOGY & NUTRITION Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266624000000",
    "number": "1104058932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-289-8000",
            "fax_number": "310-553-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-289-8000",
            "fax_number": "310-553-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES INTEGRATIVE GASTROENTEROLOGY & NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2010-02-20",
        "status": "A",
        "authorized_official_last_name": "RAHBAR",
        "authorized_official_first_name": "FARSHID",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-289-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A 38265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS ANGELES INTEGRATIVE GASTROENTEROLOGY & NUTRITION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.