Gastroenterology Medical of Los Angeles Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A38493 Issued in CA

Legal business name

GASTROENTEROLOGY MEDICAL OF LOS ANGELES INC

Practice address

850 S Atlantic Blvd
Suite 101
Monterey Park, CA 91754-6700

Phone

(626) 284-1350

Fax

(626) 284-2454

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Fernando Ibarra, MDNPI 1013082726

Title

Owner/President

Phone

(626) 284-1350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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

• Fernando Ibarra, MD

  • Gastroenterology Physician
  • Monterey Park, CA
  • NPI 1013082726
  Medicare reassignment Care Compare group NPD Authorized official
• Mohammad A. Kamal, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, CA
  • NPI 1811170400
  Medicare reassignment Care Compare group NPD
• Sarah Keiko Daley

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1053855288
  Medicare reassignment NPD
• Nazarica Ricafrente

  • Family Nurse Practitioner
  • Monterey Park, CA
  • NPI 1427435395
  Medicare reassignment NPD
• Sarineh Sarian, NP

  • Family Nurse Practitioner
  • Monterey Park, CA
  • NPI 1184272635
  NPD
• Yanna Xiong, PA

  • Physician Assistant
  • Monterey Park, CA
  • NPI 1730896788
  NPD
• Marlyn Lee Cheng, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1295842128
  NPD (past)

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1528459385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "SUITE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546700",
            "telephone_number": "626-284-1350",
            "fax_number": "626-284-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "SUITE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546700",
            "telephone_number": "626-284-1350",
            "fax_number": "626-284-2454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 E Florence Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902555835",
            "country_code": "US",
            "telephone_number": "626-284-1736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1828 E Cesar Chavez Ave",
            "address_2": "Suite 6200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900332585",
            "country_code": "US",
            "telephone_number": "626-284-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROENTEROLOGY MEDICAL OF LOS ANGELES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "626-284-1350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A38493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garvey Healthy Family Medical Clinic, Inc
• Garvey Medical Center
• Gary a Luu D.D.S. Inc. (Brushwell Dental: Dental Group of Luu Dental Corporation)
• Gary Leeling DDS, Inc.
• Gastroenterology Diagnostic Center Medical Group, a Professional (Gastroenterology Diagnostic Center)
• Fernando Gavia, M.D.
• Nani Gelvezon, D.O.
• Gem Medical Group Corporation (GEM Medical Group)
• George H. Wang, M.D. OB/GYN Med Corp
• Matthew Anthony Gerard

• Gastroenterology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.