Digestive Disease Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIGESTIVE DISEASE CENTER, LP

Doing business as

Memorial Care Digestive Care Center Saddleback Memorial, an Affiliate

Practice address

24411 Health Center Dr
Suite 450
Laguna Hills, CA 92653-3633

Phone

(949) 586-9386

Fax

(949) 586-0864

NPI assigned

Jan 3, 2006

Organization subpart

No

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

Authorized official

Name

Carolyn Knutzen

Title

Administrator

Phone

(949) 586-9386

Specialties & licenses 1

Addresses

Other names 1

• Memorial Care Digestive Care Center Saddleback Memorial, an Affiliate Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Digestive Disease Center LPCCN 05C0001134

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Member Of

  NPD member

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1417935206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "SUITE 450",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533633",
            "telephone_number": "949-586-9386",
            "fax_number": "949-586-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "SUITE 450",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533633",
            "telephone_number": "949-586-9386",
            "fax_number": "949-586-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "KNUTZEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-586-9386"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Care Digestive Care Center Saddleback Memorial, an Affiliate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimvir S Dhillon, MD
• Priyal Pragnesh Dholakiya, MD
• Dial Drug Inc (Dial Drug)
• Mayra Diaz
• Sarah E Diederick
• Rommel Bantog Dijon, DPT
• Bethany Diment
• Andrea Nhatvi Dinh, M.A.
• Tamara Dinh
• Y Nha Thi Thi Dinh, PA-C

• Ambulatory Surgical Clinic/Center in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.