Center for Digestive Disorders

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CENTER FOR DIGESTIVE DISORDERS

Practice address

2089 Vale Rd Ste 33
Suite 33
San Pablo, CA 94806-3850

Phone

(510) 234-5012

Fax

(510) 234-4921

NPI assigned

Nov 1, 2006

Last updated

Nov 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Harold Kogan, M.D.NPI 1780690313

Title

President

Phone

(510) 234-5012

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Mark Harold Kogan, M.D.

  • Gastroenterology Physician
  • San Pablo, CA
  • NPI 1780690313
  NPD (past) Authorized official
• Brian Patrick Hauck, MD

  • Gastroenterology Physician
  • Ukiah, CA
  • NPI 1649384751
  NPD (past)
• Gerald Neil Schaffer, MD

  • Gastroenterology Physician
  • San Pablo, CA
  • NPI 1780797027
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1669559639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 33",
            "address_2": "SUITE 33",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063850",
            "telephone_number": "510-234-5012",
            "fax_number": "510-234-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 33",
            "address_2": "SUITE 33",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063850",
            "telephone_number": "510-234-5012",
            "fax_number": "510-234-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIGESTIVE DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-234-5012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raynato Ocampo Castro Jr., D.D.S.
• Kimberly Catanzano
• Melissa Pamela Cavenecia
• Kimberly Ann Ceci, MD
• Hazel Bongoyan Centeno, RPH
• Center Point, Inc.
• Jennefer Guardado Cerna
• Nataly Cervantes
• Saraphi Chawengchot, LMFT
• Fanny Chen, RD, CDCES

• Gastroenterology Physician in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.