Colorectal Center of San Diego, Inc.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

A103200 Issued in CA

Legal business name

COLORECTAL CENTER OF SAN DIEGO, INC.

Practice address

2095 W Vista Way
Suite 106
Vista, CA 92083-6027

Phone

(760) 691-9733

Fax

(760) 477-6056

NPI assigned

Jan 9, 2013

Last updated

Jan 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dhruvil Pradip Gandhi, M.D.NPI 1083887277

Title

President

Phone

(760) 691-9733

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Dhruvil Pradip Gandhi, M.D.

  • Colon & Rectal Surgery Physician
  • Vista, CA
  • NPI 1083887277
  Authorized official Same address or phone

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1265779334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W VISTA WAY",
            "address_2": "SUITE 106",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836027",
            "fax_number": "760-477-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W VISTA WAY",
            "address_2": "SUITE 106",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836027",
            "telephone_number": "760-691-9733",
            "fax_number": "760-477-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORECTAL CENTER OF SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "DHRUVIL",
        "authorized_official_middle_name": "PRADIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-691-9733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A103200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Alden Coleman III, D.D.S.
• Collective Impact Solutions
• Brandie A Collins, IDC
• Teddy Collins
• Blanca Colmenares, PSS
• Anthony Ray Comeaux
• Community Dental Services (SmileCare Dental Group)
• Community Hospice San Diego, Inc
• Community Research Foundation, Inc. (Advance North)
• Complete Care Community Health Center, Inc

• Colon & Rectal Surgery Physician in Vista, CA
• Providers in Vista, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.