Active NPI
Digestive and Liver Diseases Specialists, a Medical Group Inc.
- Gastroenterology Physician
- Whittier, CA
National Provider Identifier
1912185463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A52987
- Legal business name
- DIGESTIVE AND LIVER DISEASES SPECIALISTS, A MEDICAL GROUP INC.
- Practice address
- 14350 E.Whittier Blvd.
Suite 205
Whittier, CA 90605-2138 - Phone
- (562) 693-9870
- Fax
- (562) 404-3710
- NPI assigned
- Feb 7, 2008
- 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. Rangarao Panguluri, M.D.
- Title
- Secretary
- Phone
- (562) 693-9870
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A52987 | CA | |
| Gastroenterology Physician | 207RG0100X | A52987 | CA | Primary |
Addresses
Primary practice location
14350 E.Whittier Blvd.
Suite 205
Whittier, CA 90605-2138
Mailing address
13000 Mozart Way
Cerritos, CA 90703-1379
Phone (562) 404-7848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040105000891 | CA | Part B Supplier - Clinic/Group Practice | 8729987144 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baldwin Park, CA; Whittier, CA; Garden Grove, CA; Anaheim, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Gastroenterology Physician
- Anaheim, CA
- NPI 1760469209
O20040105000891
National Provider Directory
National Provider DirectoryLocations
1771 W Romneya Dr
Ste C
Anaheim, CA 92801
Phone (714) 520-3000
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Anaheim, CA
- NPI 1912989773
-
- Nurse Practitioner
- Chino, CA
- NPI 1205642014
-
- Gastroenterology Physician
- Whittier, CA
- NPI 1316138142
-
- Family Nurse Practitioner
- Anaheim, CA
- NPI 1043356173
-
- Psychiatry Physician
- Cerritos, CA
- NPI 1962599522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1912185463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 MOZART WAY",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031379",
"telephone_number": "562-404-7848",
"fax_number": "562-404-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14350 E.WHITTIER BLVD.",
"address_2": "SUITE 205",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906052138",
"telephone_number": "562-693-9870",
"fax_number": "562-404-3710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE AND LIVER DISEASES SPECIALISTS, A MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "PANGULURI",
"authorized_official_first_name": "RANGARAO",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "562-693-9870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A52987",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A52987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.