NPIMap

Organization Active NPI

Alliance Digestive Disease Consultants Medical Group

  • Gastroenterology Physician
  • Pasadena, CA
National Provider Identifier
1699965087
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ALLIANCE DIGESTIVE DISEASE CONSULTANTS MEDICAL GROUP
Practice address
50 Alessandro PL Ste 410
Pasadena, CA 91105-3175
Phone
(626) 793-7114
Fax
(626) 793-7679
NPI assigned
Jul 31, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. Kalman Jacob Edelman, M.D.NPI 1164494811
Title
President/ Partner
Phone
(626) 793-7114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

50 Alessandro PL Ste 410
Pasadena, CA 91105-3175

Mailing address

50 Alessandro PL Ste 410
Pasadena, CA 91105-3175
Phone (626) 793-7114

National Provider Directory

National Provider Directory

Locations

145 Vista Ave
Ste 104
Pasadena, CA 91107

375 Huntington Dr
#4
San Marino, CA 91108
Phone (818) 441-1195

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 7

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": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1699965087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 410",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053175",
            "telephone_number": "626-793-7114",
            "fax_number": "626-793-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 410",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053175",
            "telephone_number": "626-793-7114",
            "fax_number": "626-793-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DIGESTIVE DISEASE CONSULTANTS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "KALMAN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/ PARTNER",
        "authorized_official_telephone_number": "626-793-7114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.