Active NPI
Associated Gastroenterology Medical Group
- Specialist
- Anaheim, CA
National Provider Identifier
1326044967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP
- Practice address
- 1211 W la Palma Ave
Ste 306
Anaheim, CA 92801-2811 - Phone
- (714) 778-1300
- Fax
- (714) 778-0303
- NPI assigned
- Jun 27, 2005
- Last updated
- Aug 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teri Hall
- Title
- Office Manager
- Phone
- (714) 778-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
1211 W la Palma Ave
Ste 306
Anaheim, CA 92801-2811
Mailing address
1211 W la Palma Ave
Ste 306
Anaheim, CA 92801-2811
Phone (714) 778-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ83646Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1211 W La Palma Ave
Ste 302
Anaheim, CA 92801
Phone (714) 284-0737
2617 E Chapman Ave
Orange, CA 92869
Phone (714) 538-6822
2617 E Chapman Ave
Ste 302
Orange, CA 92869
Phone (714) 633-1823
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Specialist
- Anaheim, CA
- NPI 1740286384
-
- Gastroenterology Physician
- Anaheim, CA
- NPI 1194969030
-
- Specialist
- Anaheim, CA
- NPI 1922004662
-
- Gastroenterology Physician
- Anaheim, CA
- NPI 1255597985
-
- Anatomic Pathology Physician
- Yorba Linda, CA
- NPI 1497927784
-
- Physician Assistant
- Pomona, CA
- NPI 1629590732
-
- Gastroenterology Physician
- Cypress, CA
- NPI 1992923460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1326044967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "STE 306",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012811",
"telephone_number": "714-778-1300",
"fax_number": "714-778-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "STE 306",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012811",
"telephone_number": "714-778-1300",
"fax_number": "714-778-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "TERI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "714-778-1300"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ83646Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
- Ashok Amin M D Inc
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- Roya Askari
- Aspen Medical Resources, LLC
- Associated Occupational Therapists Inc (rehab plus)
- Assured Behavior Consultants LLC
- Gary L Aston, PHYSICAL THERAPIST
- Shirley Ann Asuega
- Devi Jane De Guzman Asuncion, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.