Organization Active NPI

Valley Gastroenterology, Inc.

  • Gastroenterology Physician
  • Victorville, CA
National Provider Identifier
1629207642
Registry record updated Jul 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
VALLEY GASTROENTEROLOGY, INC.
Practice address
12565 Hesperia Rd
Suite 1
Victorville, CA 92395-8318
Phone
(717) 991-5836
NPI assigned
Jul 12, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Arnab Biswas, D.O.
Title
Ceo, Owner
Phone
(717) 991-5836

National Provider Directory

National Provider Directory

Locations

12565 Hesperia Rd
Ste 1
Victorville, CA 92395
Phone (717) 991-5836

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

NPPES NPI Registry

Primary practice location

12565 Hesperia Rd
Suite 1
Victorville, CA 92395-8318

Mailing address

12565 Hesperia Rd
Suite 1
Victorville, CA 92395-8318
Phone (717) 991-5836

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2009.

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247356800000",
    "number": "1629207642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12565 HESPERIA RD",
            "address_2": "SUITE 1",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958318",
            "telephone_number": "717-991-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12565 HESPERIA RD",
            "address_2": "SUITE 1",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958318",
            "telephone_number": "717-991-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GASTROENTEROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-12",
        "last_updated": "2009-07-12",
        "status": "A",
        "authorized_official_last_name": "BISWAS",
        "authorized_official_first_name": "ARNAB",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "717-991-5836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2009; 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.