Eugene R Pantangco, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A74436 Issued in CA

Practice address

10861 Cherry St Ste 302
Los Alamitos, CA 90720-5403

Phone

(562) 493-1011

Fax

(562) 594-9226

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Gastrointestinal & Liver Diseases of Newport, a Medical Corporation

  • Gastroenterology Physician
  • Newport Beach, CA
  • NPI 1548340045
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1205916780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 302",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-493-1011",
            "fax_number": "562-594-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 302",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-493-1011",
            "fax_number": "562-594-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANGCO",
        "first_name": "EUGENE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A74436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A744360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Palmero, LMFT
• Lori Lynn Palombi, M.A. AMFT
• Anais Iselle Palomo
• Jessica Natalie Pando
• Tapan Pandya, MD
• Parham Tabibian MD Inc
• Mark Parilla
• Christina Park, LCSW, PPS
• Edward J Park, D.O.
• Eugene Park

• Gastroenterology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.