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ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER NPI 1538367818


NPI Information

NPI: 1538367818
Provider Name: ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER

Other Name: BLACKHAWK CENTER FOR DIGESTIVE HEALTH

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
111 DEERWOOD RD
SUITE 168
SAN RAMON, CA
ZIP 94583
Phone: (925) 736-8228
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ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER is a gastroenterology internal medicine in San Ramon, 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. ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER NPI is 1538367818. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Blackhawk Center For Digestive Health.

The provider's business location address is:

111 DEERWOOD RD
SUITE 168
SAN RAMON, CA
ZIP 94583-409
Phone: (925) 736-8228
Fax: (925) 736-8882

The provider's authorized official is Jeffrey C. G. Mark .
The authorized official title is Physician and has the following contact phone number (925) 736-8228.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 1/10/2012.


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 MedicineGastroenterologyG83524CALIFORNIAYes

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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