Individual provider Active NPI

Seper Dezfoli, M.D.

  • Gastroenterology Physician
  • Long Beach, CA
National Provider Identifier
1104159383
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A113069 Issued in CA
Practice address
3816 Woodruff Ave Ste 411
Long Beach, CA 90808-2146
Phone
(562) 485-5550
NPI assigned
Sep 7, 2009
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036169574 IL
Gastroenterology Physician 207RG0100X A113069 CA Primary

Addresses

Primary practice location

3816 Woodruff Ave Ste 411
Long Beach, CA 90808-2146

Mailing address

3816 Woodruff Ave Ste 411
Long Beach, CA 90808-2146
Phone (562) 485-5550

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20111116000856 CA Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Hospitalist 1658545264 Reassigns benefits to 5 organizations
I20240411003250 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 1658545264
I20260106002804 MI Practitioner - Gastroenterology 1658545264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Hospitalist, Internal Medicine
Education
Pennsylvania State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

3816 Woodruff Ave
Suite 411
Long Beach, CA 90808-2146
Phone (562) 257-6110

577 Michigan Ave
Suite 202
Holland, MI 49423-4911
Phone (616) 546-9093

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113069CAMDGastroenterology Physician
036169574ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 5, 2012 Accepting new patients
County of Ventura CurrentSince Mar 3, 2024 Accepting new patients
Holland Community Hospital Gastroenterology CurrentSince Jan 3, 2026 Accepting new patients
County of Ventura Current Accepting new patients
Seper Dezfoli, MD, Inc Gastroenterology CurrentSince Jul 16, 2018 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
County of Ventura CurrentSince Mar 3, 2024 Accepting new patients
City of Hope Medical Foundation Gastroenterology CurrentSince Dec 7, 2025 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince May 23, 2022 Accepting new patients
Holland Community Hospital CurrentSince Jan 3, 2026 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince May 23, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

150 N Robertson Blvd
Ste 204
Beverly Hills, CA 90211
Phone (310) 271-1122

250 N Robertson Blvd
Ste 106
Beverly Hills, CA 90211
Phone (310) 919-4179

369 S Doheny Dr
Beverly Hills, CA 90211
Phone (310) 553-2353

1000 Fivepoint
Irvine, CA 92618
Phone (888) 333-4673

3816 Woodruff Ave
Ste 406
Long Beach, CA 90808
Phone (562) 421-7292

3816 Woodruff Ave
Ste 411
Long Beach, CA 90808
Phone (562) 257-6110

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

577 Michigan Ave
Ste 202
Holland, MI 49423
Phone (616) 394-0673

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sdezfoli106635@direct.cshs.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1104159383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 411",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082146",
            "telephone_number": "562-485-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 411",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082146",
            "telephone_number": "562-485-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZFOLI",
        "first_name": "SEPER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-07",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036169574",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A113069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "CAREQUALITY",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.