Organization Active NPI

North Valley Gastroenterology Medical Group, Inc

  • Gastroenterology Physician
  • Yuba City, CA
National Provider Identifier
1265840920
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NORTH VALLEY GASTROENTEROLOGY MEDICAL GROUP, INC
Practice address
870 Shasta St
Suite 200
Yuba City, CA 95991-4117
Phone
(530) 671-3671
Fax
(530) 671-4797
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Rose Wood
Title
Manager
Phone
(530) 671-3671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X CA Primary

Addresses

Primary practice location

870 Shasta St
Suite 200
Yuba City, CA 95991-4117

Mailing address

870 Shasta St
Suite 200
Yuba City, CA 95991-4117
Phone (530) 671-3671

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426000856 CA Part B Supplier - Clinic/Group Practice 1456650464 Receives reassigned benefits from 3 practitioners
Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory

Locations

870 Shasta St
Ste 200
Yuba City, CA 95991
Phone (530) 671-3671

Interoperability endpoints

  • Direct secure messaging: kenchow@nvgimg.allscriptsdirect.net
  • Direct secure messaging: alexkim@nvgimg.allscriptsdirect.net
  • Direct secure messaging: ashwanikapoor@nvgimg.allscriptsdirect.net
  • Direct secure messaging: sivadoma@nvgimg.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1265840920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SHASTA ST",
            "address_2": "SUITE 200",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914117",
            "telephone_number": "530-671-3671",
            "fax_number": "530-671-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SHASTA ST",
            "address_2": "SUITE 200",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914117",
            "telephone_number": "530-671-3671",
            "fax_number": "530-671-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY GASTROENTEROLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-671-3671"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.