Organization Active NPI

Digestive Health and Nutrition, Inc.

  • Pediatric Gastroenterology Physician
  • San Diego, CA
National Provider Identifier
1225856941
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Legal business name
DIGESTIVE HEALTH AND NUTRITION, INC.
Practice address
5222 Balboa Ave Ste 42
San Diego, CA 92117-6991
Phone
(760) 649-7100
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Koorosh Kooros, MD
Title
MD
Phone
(760) 649-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X Primary

Addresses

Primary practice location

5222 Balboa Ave Ste 42
San Diego, CA 92117-6991

Mailing address

6675 Elegante Way
San Diego, CA 92130-5403
Phone (858) 342-8614

Other practice location 1

2151 Ross Ave
El Centro, CA 92243-3685
Phone (760) 460-6425

Other names 1

  • Koorosh Kooros, MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1225856941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 ELEGANTE WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305403",
            "telephone_number": "858-342-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 42",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176991",
            "telephone_number": "760-649-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 Ross Ave",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922433685",
            "country_code": "US",
            "telephone_number": "760-460-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH AND NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "KOOROS",
        "authorized_official_first_name": "KOOROSH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-649-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koorosh Kooros, MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Koorosh Kooros, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.