NPIMap

Organization Active NPI

Medical Plaza of San Pedro Inc.

Doing business as Coastal View Gastroenterology of San Pedro

  • Endoscopy Clinic/Center
  • San Pedro, CA
National Provider Identifier
1275870727
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
A85817 Issued in CA
Legal business name
MEDICAL PLAZA OF SAN PEDRO INC.
Doing business as
Coastal View Gastroenterology of San Pedro
Practice address
529 W 7TH St
San Pedro, CA 90731-3115
Phone
(310) 831-1535
NPI assigned
Jan 3, 2013
Last updated
Jan 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Sutha Sachar, MD
Title
Ceo
Phone
(310) 953-3269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X A85817 CA Primary

Addresses

Primary practice location

529 W 7TH St
San Pedro, CA 90731-3115

Mailing address

2537 Pacific Coast Hwy Ste B
Torrance, CA 90505-7064
Phone (424) 250-1680

Other names 1

  • Coastal View Gastroenterology of San Pedro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Plaza of San Pedro4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1275870727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 PACIFIC COAST HWY STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057064",
            "telephone_number": "424-250-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313115",
            "telephone_number": "310-831-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA OF SAN PEDRO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "SACHAR",
        "authorized_official_first_name": "SUTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-953-3269",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "A85817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal View Gastroenterology of San Pedro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.