Organization Active NPI

La Digestive Health and Wellness, Inc

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1942541826
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A102671 Issued in CA
Legal business name
LA DIGESTIVE HEALTH AND WELLNESS, INC
Practice address
8631 W 3Rd St
Suite 445E
Los Angeles, CA 90048-5901
Phone
(310) 657-5244
Fax
(888) 242-2683
NPI assigned
Mar 2, 2013
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Marc David Makhani, M.D.NPI 1710156476
Title
President
Phone
(310) 657-5244

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 Physician 207RG0100X A102671 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
Suite 445E
Los Angeles, CA 90048-5901

Mailing address

PO Box 16659
Beverly Hills, CA 90209-2659
Phone (310) 657-5244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130529000385 CA Part B Supplier - Clinic/Group Practice 0345488599 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1942541826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16659",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092659",
            "telephone_number": "310-657-5244",
            "fax_number": "888-242-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 445E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-657-5244",
            "fax_number": "888-242-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA DIGESTIVE HEALTH AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-02",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "MAKHANI",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-657-5244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A102671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.