Seper Dezfoli, MD, Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SEPER DEZFOLI, MD, INC

Doing business as

Prestige GI

Practice address

250 N Robertson Blvd Ste 106
Beverly Hills, CA 90211-1767

Phone

(323) 800-1000

Fax

(877) 239-0994

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Seper Dezfoli, MDNPI 1104159383

Title

Physician

Phone

(323) 800-1000

Specialties & licenses 1

Addresses

Other names 1

• Prestige GI Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Seper Dezfoli, M.D.

  • Gastroenterology Physician
  • Long Beach, CA
  • NPI 1104159383
  Medicare reassignment NPD Authorized official
• Jin Guo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Loma Linda, CA
  • NPI 1538375217
  Medicare reassignment NPD

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1649756164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 S DOHENY DR STE 1121",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113508",
            "telephone_number": "323-800-1000",
            "fax_number": "877-239-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111767",
            "telephone_number": "323-800-1000",
            "fax_number": "877-239-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPER DEZFOLI, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "DEZFOLI",
        "authorized_official_first_name": "SEPER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-800-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige GI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alaleh Selkirk, PHD
• David William Sell, ASW
• Elizabeth (Liz) Ann Selzer-Lang, M.A., LMFT
• Yonatan Senehi, ACNPC-AG
• Sepa Medical, Inc., a Professional Corporation
• Serenity Respite & Supportive Care Inc. (Diamond Adult & Senior Concierge LLC)
• Suzanne Sergile, MD
• Saman Setareh-Shenas, M.D.
• Neela K Sethi, M.D.
• Karina Sevesind

• Gastroenterology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.