Organization Active NPI

Digestive Care Associates Laboratory

  • Clinical Medical Laboratory
  • San Carlos, CA
National Provider Identifier
1922478569
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLA00329354 Issued in CA
Legal business name
DIGESTIVE CARE ASSOCIATES LABORATORY
Practice address
1000 Laurel St
San Carlos, CA 94070-3939
Phone
(650) 596-8800
NPI assigned
Sep 25, 2015
Organization subpart
Yes
Parent organization
DIGESTIVE CARE ASSOCIATES, A MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Dr. Scott David Levenson, M.D.
Title
Director
Phone
(650) 596-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLA00329354 CA Primary

Addresses

Primary practice location

1000 Laurel St
San Carlos, CA 94070-3939

Mailing address

1000 Laurel St
San Carlos, CA 94070-3939
Phone (650) 596-8800

National Provider Directory

National Provider Directory
Tax ID family
Digestive Care Associates3 organizations share this tax ID, including this one
Part of
Digestive Care Associates

Other organizations with this tax ID 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1922478569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703939",
            "telephone_number": "650-596-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703939",
            "telephone_number": "650-596-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CARE ASSOCIATES LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGESTIVE CARE ASSOCIATES, A MEDICAL CORPORATION",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "LEVENSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-596-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLA00329354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.