Organization Active NPI

Gastro-Digestive Medical Group

  • Gastroenterology Physician
  • Downey, CA
National Provider Identifier
1255423976
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO-DIGESTIVE MEDICAL GROUP
Practice address
11480 Brookshire Avenue
#308
Downey, CA 90241-5020
Phone
(562) 862-3656
Fax
(562) 862-2948
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Sushil K OjhaNPI 1053377093
Title
Partner
Phone
(310) 346-6525

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

11480 Brookshire Avenue
#308
Downey, CA 90241-5020

Mailing address

11480 Brookshire Avenue
#308
Downey, CA 90241-5020
Phone (562) 862-3656

Other identifiers 1

IdentifierTypeStateIssuer
GR0094710MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001832 CA Part B Supplier - Clinic/Group Practice 8325030406 Receives reassigned benefits from 5 practitioners
Practice locations: Lynwood, CA; Downey, CA

National Provider Directory

National Provider Directory

Locations

3621 Martin Luther King Jr Blvd
Ste 6
Lynwood, CA 90262
Phone (310) 537-1503

3621 Martin Luther King Jr Blvd
Ste 5
Lynwood, CA 90262
Phone (310) 632-0906

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJEEBA

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1255423976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVENUE",
            "address_2": "#308",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415020",
            "telephone_number": "562-862-3656",
            "fax_number": "562-862-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVENUE",
            "address_2": "#308",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415020",
            "telephone_number": "562-862-3656",
            "fax_number": "562-862-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO-DIGESTIVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "OJHA",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-346-6525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.