Edward P. Laurance, MD Inc

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

EDWARD P. LAURANCE, MD INC

Doing business as

Edward P Laurance MD Inc West Coast Pediatric Gastroenterology Mohamed Adam Shaban Owner

Practice address

460 W Sierra Madre Blvd
Sierra Madre, CA 91024-2314

Phone

(626) 836-6900

Fax

(626) 836-6903

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Kim Bibb

Title

Office Manager

Phone

(626) 390-2911

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• EDWARD P LAURANCE MD INC WEST COAST PEDIATRIC GASTROENTEROLOGY MOHAMED ADAM SHABAN OWNER Doing business as
• Edward P. Laurance, MD Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Edward Palmer Laurance, MD

  • Gastroenterology Physician
  • Sierra Madre, CA
  • NPI 1790780799
  Medicare reassignment NPD
• Mohamed Adam Shaban, M.D.

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
  • NPI 1427477892
  Medicare reassignment NPD

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1225422033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W SIERRA MADRE BLVD",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242314",
            "telephone_number": "626-836-6900",
            "fax_number": "626-836-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W SIERRA MADRE BLVD",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242314",
            "telephone_number": "626-836-6900",
            "fax_number": "626-836-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 W Merced Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903402",
            "country_code": "US",
            "telephone_number": "626-836-6900",
            "fax_number": "626-836-6903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 N Orange Grove Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673027",
            "country_code": "US",
            "telephone_number": "626-836-6900",
            "fax_number": "626-836-6903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARD P. LAURANCE, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "BIBB",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-390-2911"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17980780799 01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225422033",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1427477892",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDWARD P LAURANCE MD INC WEST COAST PEDIATRIC GASTROENTEROLOGY MOHAMED ADAM SHABAN OWNER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edward P. Laurance, MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatric Gastroenterology Physician in Sierra Madre, CA
• Providers in Sierra Madre, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.