Active NPI
Morris Taub, M.D.
- Gastroenterology Physician
- San Pedro, CA
National Provider Identifier
1922071091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G27806
- Practice address
- 658 W 7TH St
San Pedro, CA 90731-3118 - Phone
- (310) 832-1152
- Fax
- (310) 832-3398
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G27806 | CA | Primary |
Addresses
Primary practice location
658 W 7TH St
San Pedro, CA 90731-3118
Mailing address
P O Box 6037
San Pedro, CA 90734-6037
Phone (310) 832-1152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G278061 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080317000324 | CA | Practitioner - Internal Medicine | 1153406087 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27806 | CA | MD | Dentist |
| G27806 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1922071091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 6037",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907346037",
"telephone_number": "310-832-1152",
"fax_number": "310-832-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313118",
"telephone_number": "310-832-1152",
"fax_number": "310-832-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUB",
"first_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G27806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G278061",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.