NPIMap

Organization Active NPI

West Gastroenterology Medical Group

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1750418810
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WEST GASTROENTEROLOGY MEDICAL GROUP
Practice address
8110 Airport Blvd
Los Angeles, CA 90045-3119
Phone
(310) 674-0144
Fax
(310) 674-1704
NPI assigned
Feb 27, 2007
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Mr. Adebambo Ojuri, M.D.NPI 1679644983
Title
Owner/Partner
Phone
(310) 674-0144

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
Specialist 174400000X CA Primary

Addresses

Primary practice location

8110 Airport Blvd
Los Angeles, CA 90045-3119

Mailing address

8110 Airport Boulevard
Los Angeles, CA 90045-3319
Phone (310) 674-0144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050622000704 CA Part B Supplier - Clinic/Group Practice 7012809403 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Corona, CA; Long Beach, CA; Los Angeles, CA; Murrieta, CA; Oxnard, CA; Thousand Oaks, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

311 Haigh Rd
Ste 200
Thousand Oaks, CA 91320
Phone (805) 214-1514

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)…

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1750418810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 AIRPORT BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453319",
            "telephone_number": "310-674-0144",
            "fax_number": "310-674-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 AIRPORT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453119",
            "telephone_number": "310-674-0144",
            "fax_number": "310-674-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GASTROENTEROLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "OJURI",
        "authorized_official_first_name": "ADEBAMBO",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "310-674-0144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.