Organization Active NPI

Los Angeles Gastroenterology Institute

  • Gastroenterology Physician
  • Northridge, CA
National Provider Identifier
1396492252
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LOS ANGELES GASTROENTEROLOGY INSTITUTE
Doing business as
Los Angeles Gastroenterology Institute
Practice address
18350 Roscoe Blvd Ste 303
Northridge, CA 91325-4157
Phone
(818) 527-1747
Fax
(818) 476-5614
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Norma Simmons
Title
Business Manager
Phone
(818) 527-1747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

18350 Roscoe Blvd Ste 303
Northridge, CA 91325-4157

Mailing address

18350 Roscoe Blvd Ste 303
Northridge, CA 91325-4157
Phone (818) 527-1747

Other practice location 1

1240 S Westlake Blvd Ste 137
Westlake Village, CA 91361-1988
Phone (818) 527-1747

Other names 1

  • Los Angeles Gastroenterology Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1396492252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 303",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254157",
            "telephone_number": "818-527-1747",
            "fax_number": "818-476-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 303",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254157",
            "telephone_number": "818-527-1747",
            "fax_number": "818-476-5614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Westlake Blvd Ste 137",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913611988",
            "country_code": "US",
            "telephone_number": "818-527-1747",
            "fax_number": "818-476-5614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOS ANGELES GASTROENTEROLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "818-527-1747"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Gastroenterology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.