NPIMap

Organization Active NPI

West Gastroenterology Medical Group

Doing business as West Gastroentrology Medical Group

  • Specialist
  • Murrieta, CA
National Provider Identifier
1912136987
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A46336 Issued in CA
Legal business name
WEST GASTROENTEROLOGY MEDICAL GROUP
Doing business as
West Gastroentrology Medical Group
Practice address
25405 Hancock Ave
Suite 210
Murrieta, CA 92562-5982
Phone
(310) 674-0144
Fax
(310) 674-1704
NPI assigned
Jul 10, 2009
Last updated
Jul 10, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST GASTROENTEROLOGY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Dr. Adebambo Oladele Ojuri, MDNPI 1679644983
Title
Partner
Phone
(310) 674-0144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A46336 CA Primary

Addresses

Primary practice location

25405 Hancock Ave
Suite 210
Murrieta, CA 92562-5982

Mailing address

PO Box 881840
Los Angeles, CA 90009-3013
Phone (310) 674-0144

Other identifiers 1

IdentifierTypeStateIssuer
9516770125OtherCATEL. NUMBER

Other names 1

  • West Gastroentrology Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050622000704 CA Part B Supplier - Clinic/Group Practice 7012809403 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corona, CA; Long Beach, CA; Los Angeles, CA; Murrieta, CA; Oxnard, CA; Thousand Oaks, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
West Gastroenterology Med2 organizations share this tax ID, including this one
Part of
West Gastroenterology Med

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1045 Atlantic Ave
Ste 615
Long Beach, CA 90813
Phone (562) 432-8788

2880 Atlantic Ave
Ste 100
Long Beach, CA 90806
Phone (562) 595-5421

8110 Airport Blvd
Los Angeles, CA 90045
Phone (310) 674-0144

25405 Hancock Ave
Ste 210
Murrieta, CA 92562
Phone (351) 677-0125

25495 Medical Center Dr
Ste 302
Murrieta, CA 92562
Phone (951) 677-0125

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1912136987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881840",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900093013",
            "telephone_number": "310-674-0144",
            "fax_number": "310-674-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25405 HANCOCK AVE",
            "address_2": "SUITE 210",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625982",
            "telephone_number": "310-674-0144",
            "fax_number": "310-674-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GASTROENTEROLOGY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST GASTROENTEROLOGY MEDICAL GROUP",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "OJURI",
        "authorized_official_first_name": "ADEBAMBO",
        "authorized_official_middle_name": "OLADELE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-674-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A46336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEL. NUMBER",
            "identifier": "9516770125",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Gastroentrology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.