Southland Gi Medical Corporation a Professional Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SOUTHLAND GI MEDICAL CORPORATION A PROFESSIONAL CORPORATION

Practice address

25485 Medical Center Dr
Ste 104
Murrieta, CA 92562-6927

Phone

(951) 304-3900

Fax

(951) 304-3901

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sreenivasa Rao Nakka, M.D

Title

President

Phone

(951) 929-1177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Anas Kawayeh, M.D.

  • Gastroenterology Physician
  • Rialto, CA
  • NPI 1821296591
  Medicare reassignment
• Naishadh Naval Raghuwanshi, MD, MBA

  • Gastroenterology Physician
  • Murrieta, CA
  • NPI 1588869382
  Medicare reassignment

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1821245382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CALHOUN PL",
            "address_2": "STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434403",
            "telephone_number": "951-929-1177",
            "fax_number": "951-765-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25485 MEDICAL CENTER DR",
            "address_2": "STE 104",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626927",
            "telephone_number": "951-304-3900",
            "fax_number": "951-304-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND GI MEDICAL CORPORATION A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "NAKKA",
        "authorized_official_first_name": "SREENIVASA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-929-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Soules
• Sound Physicians Anesthesiology of California PC
• South Coast Surgical
• Southern California Spine & Joint Institute, PC
• Kristie Renee Southern
• Southwest Hematology Oncology Medical Group (Southwest Cancer Care Medical Group)
• Southwest Trauma
• Kasey Souvannaleuth
• Amy Rachelle Sowa
• Alison Spadaro, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.