Pediatric Gastroenterology Associates of Southern California

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

A68880 Issued in CA

Legal business name

PEDIATRIC GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA

Practice address

1760 Termino Ave
Suite 300
Long Beach, CA 90804-2105

Phone

(562) 933-3009

Fax

(562) 933-8557

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Barry Arthur Steinmetz, MDNPI 1003904814

Title

President

Phone

(562) 933-3009

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Barry Arthur Steinmetz, MD

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
  • NPI 1003904814
  Medicare reassignment Care Compare group NPD Authorized official
• Anjuli Kumar, M.D.

  • Pediatrics Physician
  • Long Beach, CA
  • NPI 1720102197
  Medicare reassignment Care Compare group NPD
• Mini Mehra, M.D.

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
  • NPI 1497869770
  Medicare reassignment Care Compare group NPD
• Robert H Tran, MD

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
  • NPI 1265515704
  Medicare reassignment Care Compare group NPD
• Malinda Lin, MD

  • Pediatrics Physician
  • Costa Mesa, CA
  • NPI 1295055457
  Medicare reassignment NPD
• Mohamed Adam Shaban, M.D.

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
  • NPI 1427477892
  Medicare reassignment NPD

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1366687147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61566",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026052",
            "telephone_number": "562-933-3009",
            "fax_number": "562-933-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-933-3009",
            "fax_number": "562-933-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "STEINMETZ",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-933-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A68880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAL PIN",
            "identifier": "1731638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Peck
• Taylor Peck, CCC-SLP
• Pediatric & Adolescent Hematology-Oncology Associates
• Pediatric Critical Care Group of America
• Pediatric Endocrinology Associates of Long Beach
• Pediatric Hospitalists of America
• Pediatric Infectology Group, Inc.
• Pediatric Intensive Care Associates
• Pediatric Medical Center
• Pediatric Pulmonary Associates Inc

• Pediatric Gastroenterology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.