Active NPI
Valley Digestive Health Center
- Ambulatory Surgical Clinic/Center
- Arcadia, CA
National Provider Identifier
1821090366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- VALLEY DIGESTIVE HEALTH CENTER
- Practice address
- 488 E Santa Clara St
Suite 102
Arcadia, CA 91006-7229 - Phone
- (626) 359-9555
- Fax
- (626) 359-9556
- NPI assigned
- Aug 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elias Albert Tarakji, M.D.
- Title
- President
- Phone
- (626) 359-9555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
488 E Santa Clara St
Suite 102
Arcadia, CA 91006-7229
Mailing address
1330 W Covina Blvd
Suite 203
San Dimas, CA 91773-3200
Phone (909) 592-6157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUR01634F | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Valley Digestive Health Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Arcadia, CA
- NPI 1932145109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821090366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 W COVINA BLVD",
"address_2": "SUITE 203",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733200",
"telephone_number": "909-592-6157",
"fax_number": "909-592-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 E SANTA CLARA ST",
"address_2": "SUITE 102",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067229",
"telephone_number": "626-359-9555",
"fax_number": "626-359-9556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY DIGESTIVE HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TARAKJI",
"authorized_official_first_name": "ELIAS",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-359-9555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SUR01634F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- 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.