NPIMap

Organization Active NPI

Monterey Bay Gi Consultants Medical Group Inc.

  • Gastroenterology Physician
  • Monterey, CA
National Provider Identifier
1154373280
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MONTEREY BAY GI CONSULTANTS MEDICAL GROUP INC.
Practice address
23 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-5771
Phone
(831) 375-3577
Fax
(831) 375-1478
NPI assigned
May 17, 2006
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Daniel Gregory Luba, MDNPI 1790786002
Title
Medical Director
Phone
(831) 375-3577

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 CA Primary

Addresses

Primary practice location

23 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-5771

Mailing address

23 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-5771
Phone (831) 375-3577

Other practice location 1

212 San Jose St Ste 200
Salinas, CA 93901-3928
Phone (831) 375-3577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000983 CA Part B Supplier - Clinic/Group Practice 1153387386 Receives reassigned benefits from 30 practitioners
Practice locations: Monterey, CA; Salinas, CA; Soledad, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0590717Monterey Bay Gi Consultants Medical Group, Inc23 Upper Ragsdale Dr, Ste 200, Monterey, CA 93940ComplianceJan 22, 2027

National Provider Directory

National Provider Directory

Locations

23 Upper Ragsdale Dr
Monterey, CA 93940

23 Upper Ragsdale Dr
Ste 200
Monterey, CA 93940

212 San Jose St
Ste 201
Salinas, CA 93901

601 E Romie Ln
Ste 1
Salinas, CA 93901
Phone (313) 753-5778

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11462/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1154373280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR",
            "address_2": "SUITE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405771",
            "telephone_number": "831-375-3577",
            "fax_number": "831-375-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR",
            "address_2": "SUITE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405771",
            "telephone_number": "831-375-3577",
            "fax_number": "831-375-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 San Jose St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013928",
            "country_code": "US",
            "telephone_number": "831-375-3577",
            "fax_number": "831-375-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTEREY BAY GI CONSULTANTS MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "LUBA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "831-375-3577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.