NPIMap

Organization Active NPI

Termino Office - Gastroenterology

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
National Provider Identifier
1912198276
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Legal business name
TERMINO OFFICE - GASTROENTEROLOGY
Practice address
1760 Termino Ave Ste 300
Long Beach, CA 90804-2157
Phone
(714) 516-4295
NPI assigned
Aug 1, 2007
Organization subpart
Yes
Parent organization
PEDIATRIC SUBSPECIALTY FACULTY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Elizabeth M Farace
Title
Manager
Phone
(714) 516-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X CA Primary

Addresses

Primary practice location

1760 Termino Ave Ste 300
Long Beach, CA 90804-2157

Mailing address

455 S Main St
Orange, CA 92868-3835
Phone (714) 516-4295

Other identifiers 7

IdentifierTypeStateIssuer
GR0090404MedicaidCA
GR0090396MedicaidCA
GR0090407MedicaidCA
GR0090409MedicaidCA
GR0090405MedicaidCA
GR0090406MedicaidCA
GR009040AMedicaidCA

Other names 1

  • Pediatric Subspecialty Faculty, Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
PSF Neurology 234 organizations share this tax ID, including this one
Part of
PSF Neurology 2

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1912198276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-516-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042157",
            "telephone_number": "714-516-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERMINO OFFICE - GASTROENTEROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SUBSPECIALTY FACULTY, INC",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "FARACE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-516-4295"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090404",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090396",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090407",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090409",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090405",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090406",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR009040A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Subspecialty Faculty, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.