Pediatric Gastroenterology Medical Center, Inc.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

00300204 Issued in CA

Legal business name

PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER, INC.

Practice address

16661 Ventura Blvd Ste 718
Encino, CA 91436-1995

Phone

(818) 986-0006

Fax

(818) 986-2333

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Saied Dallalzadeh, M.D.NPI 1043275621

Title

President

Phone

(818) 986-0006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saied Dallalzadeh, M.D.

  • Pediatric Gastroenterology Physician
  • Encino, CA
  • NPI 1043275621
  NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1497807184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 718",
            "address_2": "SUITE 718",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361995",
            "telephone_number": "818-986-0006",
            "fax_number": "818-986-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 718",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361995",
            "telephone_number": "818-986-0006",
            "fax_number": "818-986-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DALLALZADEH",
        "authorized_official_first_name": "SAIED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-986-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "00300204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A489420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pedes Vascular San Fernando Valley
• Pediatric Acute Care Medical Associates, Inc.
• Pediatric and Family Medical Center (Eisner Health Optometry at Encino)
• Pediatric Cardiology Medical Assoc. of So. California
• Pediatric Care Physicians a Professional Medical Corporation
• Panthea Pedoeim, NP
• Michael Pedram, DDS, MD
• Frida Danitza Peinado
• Ifat Peled, PHD
• Michelle Pellegrino, BCBA

• Pediatric Gastroenterology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.