Organization Active NPI

Inland Empire Colon and Rectal Surgeons

  • Colon & Rectal Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1144505801
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A064659 Issued in CA
Legal business name
INLAND EMPIRE COLON AND RECTAL SURGEONS
Doing business as
Wilshire Colon and Rectal Surgeons
Practice address
3130 W Olympic Blvd Ste 340
Los Angeles, CA 90006-2494
Phone
(213) 389-3881
Fax
(909) 307-0988
NPI assigned
Oct 13, 2011
Organization subpart
Yes
Parent organization
INLAND EMPIRE COLON AND RECTAL SURGEONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Dr. Esmond Gee, MD
Title
Ceo
Phone
(909) 307-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X A064659 CA Primary

Addresses

Primary practice location

3130 W Olympic Blvd Ste 340
Los Angeles, CA 90006-2494

Mailing address

245 Terracina Blvd Ste 211B
Redlands, CA 92373-4878
Phone (909) 307-0900

Other names 1

  • Wilshire Colon and Rectal Surgeons Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080308000123 CA Part B Supplier - Clinic/Group Practice 6709961246 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Redlands, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Inland Empire Colon and Rectal Surgeons2 organizations share this tax ID, including this one
Part of
Inland Empire Colon and Rectal Surgeons

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2970 W Olympic Blvd
Los Angeles, CA 90006
Phone (213) 289-3881

2970 W Olympic Blvd
Ste 304
Los Angeles, CA 90006
Phone (213) 289-3881

245 Terracina Blvd
Ste 211A
Redlands, CA 92373
Phone (909) 363-5075

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1144505801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TERRACINA BLVD STE 211B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734878",
            "telephone_number": "909-307-0900",
            "fax_number": "909-307-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD STE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062494",
            "telephone_number": "213-389-3881",
            "fax_number": "909-307-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE COLON AND RECTAL SURGEONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INLAND EMPIRE COLON AND RECTAL SURGEONS",
        "enumeration_date": "2011-10-13",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "ESMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-307-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A064659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Colon and Rectal Surgeons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilshire Colon and Rectal Surgeons",
            "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 Jul 5, 2023; 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.