Gastrointestinal Diagnostic Clinic

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

477ASC-8 Issued in NV

Legal business name

GASTROINTESTINAL DIAGNOSTIC CLINIC

Practice address

3196 S Maryland Pkwy
Suite 207
Las Vegas, NV 89109-2305

Phone

(702) 369-3400

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Gerard London, MBA/MHA

Title

Senior Consultant

Phone

(702) 737-7555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1811085459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092305",
            "telephone_number": "702-369-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092305",
            "telephone_number": "702-369-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL DIAGNOSTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "SENIOR CONSULTANT",
        "authorized_official_telephone_number": "702-737-7555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA/MHA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "477ASC-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshad Gaston
• Tyler Gaston
• Gastric Band Institute East
• Gastric Sleeve Centers of America
• Gastroenterology Center of Nevada, LLP (Desai)
• Vanessa Green Gastwirth, MD
• Adam Joseph Gatan, D.M.D.
• Ma Cecilia Jingco Gatan, APN
• Sirintra Gatan, DMD
• Vicente Hector Gatan, APRN

• Ambulatory Surgical Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.