Cal Med Endoscopy Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

CAL MED ENDOSCOPY CENTER LLC

Practice address

1281 W C St
Colton, CA 92324-1916

Phone

(909) 580-3353

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Dev Gnanadev, MDNPI 1104933985

Title

Owner

Phone

(909) 580-3353

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Dev Appannagari Gnanadev, MD

  • Surgery Physician
  • Colton, CA
  • NPI 1104933985
  NPD (past) Authorized official
• Samuel Schwartz, MD

  • Vascular Surgery Physician
  • Colton, CA
  • NPI 1255563334
  NPD (past)

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1982181939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 W C ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241916",
            "telephone_number": "909-679-2754",
            "fax_number": "909-423-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 W C ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241916",
            "telephone_number": "909-580-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL MED ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "GNANADEV",
        "authorized_official_first_name": "DEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-580-3353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grethel Alba Cabison, MD
• Eduardo Cabrera
• Nicole Cabrera
• David Cadena
• Cal Med ASC LLC
• Cal Med Physicians and Surgeons, Inc.
• Cal Med Vascular ASC LLC
• Cal Med Vascular Center LLC
• Renae Soledad Caldera
• Dean Caldwell

• All providers in Colton, CA
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.