Organization Active NPI

Arcadius Center for Digestive and Liver Health LLC

  • Gastroenterology Physician
  • Garden Grove, CA
National Provider Identifier
1518632637
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ARCADIUS CENTER FOR DIGESTIVE AND LIVER HEALTH LLC
Practice address
11922 Seacrest Drive
Suite a
Garden Grove, CA 92840-1937
Phone
(714) 636-9100
Fax
(714) 636-1806
NPI assigned
Aug 11, 2021
Organization subpart
Yes
Parent organization
ARCADIUS CENTER FOR DIGESTIVE AND LIVER HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Mr. Syam Prasad Gaddam, M.D.
Title
Medical Doctor / President
Phone
(714) 636-9100

Specialties & licenses 1

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

Addresses

Primary practice location

11922 Seacrest Drive
Suite a
Garden Grove, CA 92840-1937

Mailing address

11922 Seacrest Drive
Suite a
Garden Grove, CA 92840-1937
Phone (714) 636-9100

National Provider Directory

National Provider Directory
Part of
Arcadius Center for Digestive and Liver Health LLC

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1518632637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 SEACREST DRIVE",
            "address_2": "SUITE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928401937",
            "telephone_number": "714-636-9100",
            "fax_number": "714-636-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11922 SEACREST DRIVE",
            "address_2": "SUITE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928401937",
            "telephone_number": "714-636-9100",
            "fax_number": "714-636-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIUS CENTER FOR DIGESTIVE AND LIVER HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCADIUS CENTER FOR DIGESTIVE AND LIVER HEALTH LLC",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "GADDAM",
        "authorized_official_first_name": "SYAM",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR / PRESIDENT",
        "authorized_official_telephone_number": "714-636-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.