NPIMap

Individual provider Active NPI

George B Saffouri, MD

  • Gastroenterology Physician
  • Redlands, CA
National Provider Identifier
1962766907
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
56705 Issued in MN
Practice address
375 Terracina Blvd
Redlands, CA 92373
Phone
(909) 644-4063
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 56705 MN
Gastroenterology Physician 207RG0100X R76552 AZ
Gastroenterology Physician 207RG0100X 56705 MN Primary

Addresses

Primary practice location

375 Terracina Blvd
Redlands, CA 92373

Mailing address

2006 N Riverside Ave Ste B
Rialto, CA 92377-4697
Phone (909) 644-4063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180719002034 CA Practitioner - Gastroenterology 3072759836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Virginia Commonwealth Univ School of Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Bernardino Gastroenterology Associates IncGroup PAC ID 7214218726, 7 clinicians

Practice addresses (Care Compare)

375 Terracina Blvd
Redlands, CA 92373-3801
Phone (909) 644-4033

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Upper gastrointestinal (GI) endoscopy for acid reflux94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R76552AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Oct 27, 2022 Accepting new patients
San Bernardino Gastroenterology Associates Inc. Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Beaver Medical Group P C Internal Medicine CurrentSince Oct 27, 2022 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

7000 Boulder Ave
Highland, CA 92346

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

375 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-2600

2006 N Riverside Ave
Rialto, CA 92377
Phone (909) 227-5139

2006 N Riverside Ave
Ste B
Rialto, CA 92377
Phone (909) 644-4033

2006 N Riverside Ave
Ste C
Rialto, CA 92377
Phone (909) 586-6238

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gsaffouri19199@epiclp.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1962766907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 N RIVERSIDE AVE STE B",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774697",
            "telephone_number": "909-644-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-644-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFOURI",
        "first_name": "GEORGE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "56705",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "R76552",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "56705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.