Active NPI
Seper Dezfoli, M.D.
- Gastroenterology Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A113069
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Pennsylvania State University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- St Mary Medical Center
- Providence St Joseph Hospital
- Holland Hospital
- City of Hope Helford Clinical Research Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 34 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113069 | CA | MD | Gastroenterology Physician |
| 036169574 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| Holland Community Hospital | Gastroenterology | Current | Accepting new patients |
| County of Ventura | Current | Accepting new patients | |
| Seper Dezfoli, MD, Inc | Gastroenterology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| City of Hope Medical Foundation | Gastroenterology | Current | Accepting new patients |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Current | 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
- 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.
-
dba City of Hope Duarte
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
Gastroenterology
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba VCBH - Simi Valley Youth & Family Mental Health
- Community/Behavioral Health Agency
- Simi Valley, CA
- NPI 1609098243
-
- Public Health & General Preventive Medicine Physician
- Oxnard, CA
- NPI 1801325303
-
- Internal Medicine Physician
- Los Alamitos, CA
- NPI 1962783704
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Gastroenterology Physician
- Holland, MI
- NPI 1609577394
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
dba Providence Humboldt Home Infusion
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
-
dba Holland Hospital
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.