NPIMap

Organization Active NPI

Hi-Bridge Gastroenterology Medical Group Inc.

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1629008610
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A054838 Issued in CA
Legal business name
HI-BRIDGE GASTROENTEROLOGY MEDICAL GROUP INC.
Practice address
1245 Wilshire Blvd
Suite 680
Los Angeles, CA 90017-4810
Phone
(213) 620-0822
Fax
(213) 620-1384
NPI assigned
Jul 4, 2006
Last updated
May 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Dr. Patrick H Takahashi, M.D.NPI 1477584928
Title
Owner
Phone
(213) 620-0822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A054838 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd
Suite 680
Los Angeles, CA 90017-4810

Mailing address

1245 Wilshire Blvd
Suite 680
Los Angeles, CA 90017-4810
Phone (213) 620-0822

Other identifiers 1

IdentifierTypeStateIssuer
A548380MedicaidCA

National Provider Directory

National Provider Directory

Locations

1245 Wilshire Blvd
Ste 680
Los Angeles, CA 90017
Phone (213) 620-0822

420 E 3rd St
Ste 606
Los Angeles, CA 90013
Phone (213) 620-0822

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1629008610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-620-0822",
            "fax_number": "213-620-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-620-0822",
            "fax_number": "213-620-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-BRIDGE GASTROENTEROLOGY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "TAKAHASHI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-620-0822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A054838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A548380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.