Active NPI
Sierra Gastroenterology
- Specialist
- Lancaster, CA
National Provider Identifier
1992713085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A29707
- Legal business name
- SIERRA GASTROENTEROLOGY
- Practice address
- 44725 10TH St W Ste 250
Lancaster, CA 93534-3048 - Phone
- (661) 945-1874
- Fax
- (661) 945-2584
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sinnadurai Earampa Moorthy, MD
- Title
- Managing Partner
- Phone
- (661) 945-1874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A29707 | CA | Primary |
Addresses
Primary practice location
44725 10TH St W Ste 250
Lancaster, CA 93534-3048
Mailing address
44725 10TH St W
Suite 250
Lancaster, CA 93534-3033
Phone (661) 945-1874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0024400 | Medicaid | CA |
Other names 1
- S.E.Moorthy MD inc
National Provider Directory
National Provider Directory- Tax ID family
- Semoorthy MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Gastroenterology Physician
- Lancaster, CA
- NPI 1083830962
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Lancaster, CA
- NPI 1679559157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992713085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44725 10TH ST W",
"address_2": "SUITE 250",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343033",
"telephone_number": "661-945-1874",
"fax_number": "661-945-2584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44725 10TH ST W STE 250",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343048",
"telephone_number": "661-945-1874",
"fax_number": "661-945-2584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA GASTROENTEROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORTHY",
"authorized_official_first_name": "SINNADURAI",
"authorized_official_middle_name": "EARAMPA",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "661-945-1874",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A29707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0024400",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "S.E.Moorthy MD inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.