NPIMap

Organization Active NPI

Gastro Health Inc

  • Medical Specialty Clinic/Center
  • Redlands, CA
National Provider Identifier
1821601840
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GASTRO HEALTH INC
Practice address
1895 Orange Tree LN Ste 102
Redlands, CA 92374-0112
Phone
(909) 558-2600
NPI assigned
Aug 28, 2020
Last updated
Oct 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Authorized official

Name
Tina Noble Macomber
Title
Practice Administrator
Phone
(909) 558-7884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1895 Orange Tree LN Ste 102
Redlands, CA 92374-0112

Mailing address

11234 Anderson St RM 2586a
Loma Linda, CA 92350-1716
Phone (909) 558-7884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929001251 CA Part B Supplier - Clinic/Group Practice 6709205537 Receives reassigned benefits from 6 practitioners
Practice locations: Redlands, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791676800000",
    "number": "1821601840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST RM 2586A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501716",
            "telephone_number": "909-558-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 ORANGE TREE LN STE 102",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740112",
            "telephone_number": "909-558-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-10-11",
        "certification_date": "2026-10-11",
        "status": "A",
        "authorized_official_last_name": "NOBLE MACOMBER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "909-558-7884"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2026; 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.