Organization Active NPI

Gastroenterology & Hepatology Specialists Inc

  • Gastroenterology Physician
  • Simi Valley, CA
National Provider Identifier
1457625931
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A91177 Issued in CA
Legal business name
GASTROENTEROLOGY & HEPATOLOGY SPECIALISTS INC
Practice address
1687 Erringer Rd
Suite 103
Simi Valley, CA 93065-6508
Phone
(805) 462-4463
Fax
(866) 496-4990
NPI assigned
Mar 1, 2012
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mayur Trivedi, MDNPI 1629265046
Title
President
Phone
(805) 492-4463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X A91177 CA Primary

Addresses

Primary practice location

1687 Erringer Rd
Suite 103
Simi Valley, CA 93065-6508

Mailing address

3288 Casino Dr
Thousand Oaks, CA 91362-4802
Phone (805) 492-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000084 CA Part B Supplier - Clinic/Group Practice 3173784295 Receives reassigned benefits from 3 practitioners
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

2060D E Avenida de los Arboles
Thousand Oaks, CA 91362
Phone (805) 267-4890

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1457625931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 CASINO DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913624802",
            "telephone_number": "805-492-4463",
            "fax_number": "866-496-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508",
            "telephone_number": "805-462-4463",
            "fax_number": "866-496-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY & HEPATOLOGY SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "MAYUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-492-4463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A91177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.