NPIMap

Organization Active NPI

Comprehensive Gi Care, a Professional Medical Group, Inc.

  • Gastroenterology Physician
  • Los Alamitos, CA
National Provider Identifier
1952564965
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
COMPREHENSIVE GI CARE, A PROFESSIONAL MEDICAL GROUP, INC.
Practice address
4772 Katella Ave
#200
Los Alamitos, CA 90720-2683
Phone
(562) 596-5552
Fax
(562) 596-5340
NPI assigned
Jul 9, 2008
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Lisa HertzNPI 1639237720
Title
President
Phone
(562) 596-5552

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 NU Primary

Addresses

Primary practice location

4772 Katella Ave
#200
Los Alamitos, CA 90720-2683

Mailing address

4772 Katella Ave
#200
Los Alamitos, CA 90720-2683
Phone (562) 596-5552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000940 CA Part B Supplier - Clinic/Group Practice 7810942000 Receives reassigned benefits from 5 practitioners
Practice locations: Long Beach, CA; Los Alamitos, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFIEBA

Practitioners & affiliated clinicians

Practitioners 6

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": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1952564965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE",
            "address_2": "#200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202683",
            "telephone_number": "562-596-5552",
            "fax_number": "562-596-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE",
            "address_2": "#200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202683",
            "telephone_number": "562-596-5552",
            "fax_number": "562-596-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE GI CARE, A PROFESSIONAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-596-5552"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.