Interventional Gastroenterology Consultants a Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

INTERVENTIONAL GASTROENTEROLOGY CONSULTANTS A MEDICAL CORPORATION

Practice address

4845 Via del Cerro
Yorba Linda, CA 92887-2641

Phone

(714) 305-9507

Fax

(888) 818-3162

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Liz Shepherd

Title

Director of Credentialing

Phone

(951) 256-4360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1508556465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 VIA DEL CERRO",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872641",
            "telephone_number": "714-305-9507",
            "fax_number": "888-818-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 VIA DEL CERRO",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872641",
            "telephone_number": "714-305-9507",
            "fax_number": "888-818-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL GASTROENTEROLOGY CONSULTANTS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "951-256-4360"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.