ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER – NPI #1538367818
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER is a provider located in SAN RAMON, CA. NPPES has assigned the NPI number 1538367818 to ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER on July 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER is also known by the name BLACKHAWK CENTER FOR DIGESTIVE HEALTH. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 14 years ago on Jan 10, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER below.

NPI Profile for
ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER

NPI Number
1538367818
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER
Other Name: BLACKHAWK CENTER FOR DIGESTIVE HEALTH
Primary location
111 DEERWOOD RD
SUITE 168
SAN RAMON, CA 94583-4409
Phone: (925) 736-8228 Fax: (925) 736-8882
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY MARK
PHYSICIAN
Phone: (925) 736-8228
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 CA G83524

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.