Southern California Liver and Gi Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11999 Issued in CA

Legal business name

SOUTHERN CALIFORNIA LIVER AND GI CENTER

Practice address

468 Gibson Ave
Pacific Grove, CA 93950-4416

Phone

(619) 840-2720

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tarek Hassanein, MD

Title

Medical Director

Phone

(619) 522-0399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1346790870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "619-522-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 GIBSON AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504416",
            "telephone_number": "619-840-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA LIVER AND GI CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "HASSANEIN",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-522-0399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "11999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte A. Sky, PH.D.
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• Whitney Raymond Snow, PHARM.D.
• Social Skills Training and Resources
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• Scott Stabile, PTA
• Lindsay Erin Stanley, LE
• Peter Steffen, D.P.M.
• Tod Michael Steffenilla, MPT
• Lola S Steinbaum, M.D.

• Family Nurse Practitioner in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.