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SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES NPI 1578621199


NPI Information

NPI: 1578621199
Provider Name: SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES

Doing Business As: DENISON, GOODMAN, EPSTEN & HAYNES MEDICAL CORPORATION

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 05D2151143

Address:
4060 4TH AVE
SUITE 240
SAN DIEGO, CA
ZIP 92103
Phone: (619) 291-6064
Get Directions

SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES 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 GASTROENTEROLOGY MEDICAL ASSOCIATES NPI is 1578621199. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Denison, Goodman, Epsten & Haynes Medical Corporation.

The provider's business location address is:

4060 4TH AVE
SUITE 240
SAN DIEGO, CA
ZIP 92103-116
Phone: (619) 291-6064
Fax: (619) 291-3078

The provider's authorized official is Robert M Epsten .
The authorized official title is President and has the following contact phone number (619) 291-6064.

The CLIA number assigned to this NPI record is 05D2151143 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/4/2015.


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 MedicineGastroenterologyG46179CALIFORNIAYes

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
1A116352MEDICARE PINCALIFORNIA
2I08640MEDICARE UPINCALIFORNIA
3W3533MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
41699917096MEDICARE NSCCALIFORNIA
5I14215MEDICARE UPINCALIFORNIA
6A111638MEDICARE PINCALIFORNIA
7A92628MEDICARE UPINCALIFORNIA
8E23408MEDICARE UPINCALIFORNIA
921263MEDICARE PINCALIFORNIA

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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