ADVANCED GASTROENTEROLOGY INC. NPI 1497970875

NPI Information

  • NPI: 1497970875
  • Provider Name: ADVANCED GASTROENTEROLOGY, INC.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • :
  • Address: 555 MARIN ST STE 270
    THOUSAND OAKS, CA
    ZIP 91360
  • Phone: (805) 719-0244

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NPI Details

ADVANCED GASTROENTEROLOGY, INC. is a gastroenterology internal medicine in Thousand Oaks, 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. ADVANCED GASTROENTEROLOGY, INC. NPI is 1497970875. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

555 MARIN ST STE 270
THOUSAND OAKS, CA
ZIP 91360-112
Phone: (805) 719-0244
Fax: (805) 777-1730

The provider's authorized official is Gilbert Simoni .
The authorized official title is Owner and has the following contact phone number (805) 719-0244.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 2/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyA77140CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W20758OTHERCALIFORNIAMEDICARE GROUP ID

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: 11/21/2025

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