Orange County Gastroenterological Medical Group Incorporated

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G13929 Issued in CA

Legal business name

ORANGE COUNTY GASTROENTEROLOGICAL MEDICAL GROUP INCORPORATED

Practice address

3055 W Orange Ave Ste 105
Anaheim, CA 92804-3152

Phone

(714) 995-4704

Fax

(714) 995-3814

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth M Yamashiro, MDNPI 1669584934

Title

Owner

Phone

(714) 995-4704

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kenneth M Yamashiro, MD

  • Gastroenterology Physician
  • Anaheim, CA
  • NPI 1669584934
  Authorized official Same address or phone

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770632234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 W ORANGE AVE STE 105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043152",
            "telephone_number": "714-995-4704",
            "fax_number": "714-995-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 W ORANGE AVE STE 105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043152",
            "telephone_number": "714-995-4704",
            "fax_number": "714-995-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY GASTROENTEROLOGICAL MEDICAL GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMASHIRO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-995-4704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G13929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843815",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orange Coast Surgery Center
• Orange County Association for Mental Health (AMHS MHA West Region Outpatient Services)
• Orange County Behavioral Sciences Inc.
• Orange County Depression & Anxiety Family Therapy
• Orange County First Medical Group a Professional Corporation
• Orange County Health Care Agency
• Orange County Health Care Agency
• Orange County Health Transitions Inc. (Interim Healthcare)
• Orange County Healthcare Inc (CA Family Medical Center & Urgent Care)
• Orange County Healthcare Inc (CA Family Medical Center & Urgent Care)

• Gastroenterology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.