Organization Active NPI

Citrus Valley Gastroenterology a Medical Corporation

  • Gastroenterology Physician
  • Glendora, CA
National Provider Identifier
1942328273
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CITRUS VALLEY GASTROENTEROLOGY A MEDICAL CORPORATION
Practice address
415 W Route 66
# 102
Glendora, CA 91740-4335
Phone
(626) 610-2112
Fax
(626) 610-2119
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Sartaj M AroraNPI 1841258340
Title
MD
Phone
(626) 737-1066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

415 W Route 66
# 102
Glendora, CA 91740-4335

Mailing address

415 W Route 66
# 102
Glendora, CA 91740-4335
Phone (626) 610-2112

Other identifiers 1

IdentifierTypeStateIssuer
1942328273OtherCANPI

Other names 1

  • Citrus Valley Gastroenterology A California Medical Corporation Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420001453 CA Part B Supplier - Clinic/Group Practice 4284672163 Receives reassigned benefits from 7 practitioners
Practice locations: Covina, CA; Glendora, CA

National Provider Directory

National Provider Directory

Locations

500 W San Bernardino Rd
Ste B
Covina, CA 91722
Phone (626) 960-2326

415 W Route 66
Ste 2
Glendora, CA 91740

1135 S Sunset Ave
Ste 405
West Covina, CA 91790
Phone (626) 960-2326

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1942328273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66",
            "address_2": "# 102",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "626-610-2112",
            "fax_number": "626-610-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66",
            "address_2": "# 102",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "626-610-2112",
            "fax_number": "626-610-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS VALLEY GASTROENTEROLOGY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "SARTAJ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "626-737-1066"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942328273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Valley Gastroenterology A California Medical Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.