Organization Active NPI

Gastrointestinal Healthcare of Orange County, Inc.

  • Gastroenterology Physician
  • Mission Viejo, CA
National Provider Identifier
1710067673
Registry record updated Sep 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A063719 Issued in CA
Legal business name
GASTROINTESTINAL HEALTHCARE OF ORANGE COUNTY, INC.
Practice address
26691 Plaza Suite 150
Mission Viejo, CA 92691
Phone
(949) 276-2882
Fax
(949) 276-2885
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2018

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

Authorized official

Name
Habib RahmanNPI 1598728990
Title
Physician
Phone
(949) 276-2882

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A063719 CA Primary

Addresses

Primary practice location

26691 Plaza Suite 150
Mission Viejo, CA 92691

Mailing address

26691 Plaza Suite 150
Mission Viejo, CA 92691-6329
Phone (949) 276-2882

Other practice location 1

26800 Crown Valley Parkway
Suite # 475
Mission Viejo, CA 92691
Phone (949) 276-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000516 CA Part B Supplier - Clinic/Group Practice 0941303879 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535846400000",
    "number": "1710067673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 PLAZA SUITE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916329",
            "telephone_number": "949-276-2882",
            "fax_number": "949-276-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA SUITE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-276-2882",
            "fax_number": "949-276-2885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26800 Crown Valley Parkway",
            "address_2": "Suite # 475",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "92691",
            "country_code": "US",
            "telephone_number": "949-276-2882",
            "fax_number": "949-276-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROINTESTINAL HEALTHCARE OF ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-09-02",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "HABIB",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-276-2882"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A063719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; 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.