Anas Kawayeh MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A109588 Issued in CA

Legal business name

ANAS KAWAYEH MD INC

Practice address

2006 N Riverside Ave
Ste a
Rialto, CA 92377-4696

Phone

(909) 883-2999

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Anas Kawayeh, MDNPI 1821296591

Title

President

Phone

(909) 883-2999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Anas Kawayeh, M.D.

  • Gastroenterology Physician
  • Rialto, CA
  • NPI 1821296591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1982153797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733801",
            "telephone_number": "909-883-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N RIVERSIDE AVE",
            "address_2": "STE A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774696",
            "telephone_number": "909-883-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAS KAWAYEH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "KAWAYEH",
        "authorized_official_first_name": "ANAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-883-2999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A109588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A109588",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Rialto, CA
• Providers in Rialto, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.