GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP, INC A MEDICAL CORPORATION – NPI #1629170998
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

GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP, INC A MEDICAL CORPORATION is a provider located in CASTRO VALLEY, CA. NPPES has assigned the NPI number 1629170998 to GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP, INC A MEDICAL CORPORATION on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP. 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 4 years ago on Aug 01, 2022. 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 GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP, INC A MEDICAL CORPORATION below.

NPI Profile for
GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP, INC A MEDICAL CORPORATION

NPI Number
1629170998
Enumeration Date

(about 20 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
GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP, INC A MEDICAL CORPORATION
Former Legal Business Name: GASTROENTEROLOGY SPECIALISTS MEDICAL GROUP
Primary location
19845 LAKE CHABOT RD
SUITE 104
CASTRO VALLEY, CA 94546-4055
Phone: (510) 537-4415 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WEI-FANG KO KO
PRESIDENT
Phone: (510) 537-4415
Updated
Certification Date
Aug 01, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.