NPIMap

Organization Active NPI

Gastro Care Institute

  • Gastroenterology Physician
  • Lancaster, CA
National Provider Identifier
1326514746
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO CARE INSTITUTE
Practice address
1331 W Avenue J Ste 202
Lancaster, CA 93534-2954
Phone
(661) 529-7550
Fax
(661) 529-7560
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Vivaik Tyagi, MDNPI 1073612545
Title
President
Phone
(661) 575-7603

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 1

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

Addresses

Primary practice location

1331 W Avenue J Ste 202
Lancaster, CA 93534-2954

Mailing address

PO Box 5688
Lancaster, CA 93539-5688
Phone (661) 529-7550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190108003937 CA Part B Supplier - Clinic/Group Practice 7214273481 Receives reassigned benefits from 16 practitioners
Practice locations: Ridgecrest, CA; Lancaster, CA

National Provider Directory

National Provider Directory

Locations

43944 15th St W
#101
Lancaster, CA 93534

43944 15th St W
Lancaster, CA 93534
Phone (661) 529-7550

21311 Madrona Ave
Ste 100
Torrance, CA 90503

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1326514746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5688",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935395688",
            "telephone_number": "661-529-7550",
            "fax_number": "661-529-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W AVENUE J STE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342954",
            "telephone_number": "661-529-7550",
            "fax_number": "661-529-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO CARE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "TYAGI",
        "authorized_official_first_name": "VIVAIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-575-7603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.