NPIMap

Organization Active NPI

Inpatient Gastroenterology Services, Inc.

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1942597265
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A76490 Issued in CA
Legal business name
INPATIENT GASTROENTEROLOGY SERVICES, INC.
Practice address
116 S Croft Ave
301
Los Angeles, CA 90048-3448
Phone
(310) 246-4100
Fax
(310) 285-2029
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Shahab Mehdizadeh, M.D.
Title
President
Phone
(310) 246-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A76490 CA Primary

Addresses

Primary practice location

116 S Croft Ave
301
Los Angeles, CA 90048-3448

Mailing address

116 S Croft Ave
301
Los Angeles, CA 90048-3448
Phone (310) 246-4100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1942597265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S CROFT AVE",
            "address_2": "301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483448",
            "telephone_number": "310-246-4100",
            "fax_number": "310-285-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S CROFT AVE",
            "address_2": "301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483448",
            "telephone_number": "310-246-4100",
            "fax_number": "310-285-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INPATIENT GASTROENTEROLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "MEHDIZADEH",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-246-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A76490",
            "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 Jul 7, 2011; 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.