Gastroenterology Associates of the East Bay Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GASTROENTEROLOGY ASSOCIATES OF THE EAST BAY MEDICAL GROUP, INC.

Practice address

2510 Webster Street
Berkeley, CA 94705

Phone

(510) 548-6555

Fax

(510) 548-3761

NPI assigned

Oct 3, 2006

Last updated

Nov 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Atwood

Title

Biller

Phone

(510) 292-4528

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Al-Shuwaykh, M.D

  • Gastroenterology Physician
  • Walnut Creek, CA
  • NPI 1275967143
  NPD
• Sanya Wadhwa, M.D.

  • Gastroenterology Physician
  • Oakland, CA
  • NPI 1003234501
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1407940224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WEBSTER STREET",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-548-6555",
            "fax_number": "510-548-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WEBSTER STREET",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-548-6555",
            "fax_number": "510-548-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF THE EAST BAY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "510-292-4528"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Jerrilena Monique Garrett
• Matthew R Garrett, BCBA, AMFT
• Christina Garza, M.D.
• Kelly Kawaoka Garza
• Suzanne Marie Gassner, PH.D.
• Stephanie Anne Gabrielle Gay Moss, M.A
• Marta Berhane Gebregergis
• Leslie Gee, M.D.
• Michael Gee, PHARMD
• Natalie Summer Gee, D.C.

• Specialist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.