Organization Active NPI

Santa Monica Gi Medical Group

  • Gastroenterology Physician
  • Beverly Hills, CA
National Provider Identifier
1487044384
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SANTA MONICA GI MEDICAL GROUP
Practice address
200 N Robertson Blvd
Suite 100
Beverly Hills, CA 90211-1769
Phone
(310) 967-1884
Fax
(310) 967-1800
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Thomas D Gordon
Title
Ceo
Phone
(310) 385-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

200 N Robertson Blvd
Suite 100
Beverly Hills, CA 90211-1769

Mailing address

PO Box 54679
Los Angeles, CA 90054-0679
Phone (310) 967-1884

National Provider Directory

National Provider Directory

Locations

200 N Robertson Blvd
Ste 100
Beverly Hills, CA 90211

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1487044384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540679",
            "telephone_number": "310-967-1884",
            "fax_number": "310-967-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD",
            "address_2": "SUITE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111769",
            "telephone_number": "310-967-1884",
            "fax_number": "310-967-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA GI MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-385-3200"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.