American Advanced Gastroenterology Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A35408 Issued in CA

Legal business name

AMERICAN ADVANCED GASTROENTEROLOGY INC

Practice address

173 E Webster St
Colusa, CA 95932-2949

Phone

(209) 857-4787

Fax

(209) 248-7856

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Humayoun Khan, MD

Title

President

Phone

(312) 224-8764

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Pankaj Malhotra, MD

  • Hospitalist Physician
  • Modesto, CA
  • NPI 1851561203
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1376041962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DALE RD # J8-140",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232",
            "telephone_number": "209-857-4787",
            "fax_number": "209-248-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E WEBSTER ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322949",
            "telephone_number": "209-857-4787",
            "fax_number": "209-248-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ADVANCED GASTROENTEROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "HUMAYOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-224-8764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A35408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A35408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maira Aceves
• Michael Henry Acosta
• Adventist Health Physicians Network
• Julie E Allen, PHARM. D.
• Graciela Alvernaz
• Ampla Health
• Haley Amundson
• Apexcare Medical Transport
• Parveen Kaur Bains, OD
• Bradley R Baker, OD

• All providers in Colusa, CA
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.