Organization Active NPI

Sierra Gastroenterology

  • Specialist
  • Lancaster, CA
National Provider Identifier
1992713085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A29707 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0024400MedicaidCA

Other names 1

  • S.E.Moorthy MD inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Semoorthy MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.