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SAN DIEGO INSTITUTE OF GASTROENTEROLOGY AND NUTRITION NPI 1124220181


NPI Information

NPI: 1124220181
Provider Name: SAN DIEGO INSTITUTE OF GASTROENTEROLOGY AND NUTRITION
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 05D0571135

Address:
6699 ALVARADO RD
SUITE 2301
SAN DIEGO, CA
ZIP 92120
Phone: (619) 229-1005
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SAN DIEGO INSTITUTE OF GASTROENTEROLOGY AND NUTRITION is a gastroenterology internal medicine in San Diego, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. SAN DIEGO INSTITUTE OF GASTROENTEROLOGY AND NUTRITION NPI is 1124220181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6699 ALVARADO RD
SUITE 2301
SAN DIEGO, CA
ZIP 92120-244
Phone: (619) 229-1005
Fax: (619) 326-0380

The provider's authorized official is Ananthram Pottipati Reddy .
The authorized official title is Secretary and has the following contact phone number (619) 229-1005.

The CLIA number assigned to this NPI record is 05D0571135 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/1/2007 and was last updated on 5/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology2955846CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A46472OTHERCALIFORNIAMEDICAL LICENSE- JOSEPH B. REDDY
200A464720MEDICAIDCALIFORNIA
3C52423OTHERCALIFORNIAMEDICAL LICENSE -ANANTHRAM P. REDDY
400C524230MEDICAIDCALIFORNIA
5C52423OTHERCALIFORNIAMEDICAL LICENSE- ANANTHRAM REDDY, MD
6A46472OTHERCALIFORNIAMEDICAL LICENSE - JOSEPH REDDY, MD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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