Childrens Gastroenterology MCSG

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

A24038 Issued in CA

Legal business name

CHILDRENS GASTROENTEROLOGY MCSG

Practice address

1760 Termino Ave
Suite 300
Long Beach, CA 90804-2105

Phone

(562) 933-6900

Fax

(562) 933-8557

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard K Mathis, M.D.

Title

Medical Director

Phone

(562) 933-6900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

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

• Stephanie Horwitz Abrams, M.D.

  • Physician Nutrition Specialist (Family Medicine)
  • Torrance, CA
  • NPI 1427160076

  Pediatric Gastroenterology

  NPD (past)
• Leon L Chen, M.D.

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
  • NPI 1801194873
  NPD (past)
• Sonia K Michail, MD

  • Pediatric Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1629034665
  NPD (past)
• Roy Nattiv, MD

  • Pediatric Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1023313772
  NPD (past)
• Sarah J Sela-Herman, MD

  • Pediatric Gastroenterology Physician
  • Orange, CA
  • NPI 1710075502
  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1831332865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20360",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908013360",
            "telephone_number": "562-933-6900",
            "fax_number": "562-933-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-933-6900",
            "fax_number": "562-933-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS GASTROENTEROLOGY MCSG",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-933-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A24038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SELA-HERMAN IND MEDICAL NUMBER",
            "identifier": "00A549840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MATHIS IND MEDI-CAL NUMBER",
            "identifier": "00A240380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childnet Youth and Family Services Inc
• Children'S Dental Foundation
• Children'S Heart Rhythm Institute, Med. Corp.
• Children'S Institute Inc
• Children'S Institute, Inc.
• Childrens Institute, Inc.
• Sierra Childress, MS
• Eka Sabrina Childs
• Imari Billy Childs, LCSW
• Chill Vibrations, LLC

• Pediatric Gastroenterology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.