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MY GASTRO WELLNESS. LLC
NPI 1003685249
Internal Medicine - Gastroenterology in Canoga Park, CA

Active since December 28, 2023
22110 ROSCOE BLVD, SUITE 201, CANOGA PARK, CA 91304(747) 204-4177(818) 431-8283 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Gastro Wellness. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY GASTRO WELLNESS. LLC (NPI 1003685249) is a healthcare organization registered as a gastroenterology in Canoga Park, California and active in the NPI registry since December 2023. The organization lists Norma Simmons, Manager, as its authorized official.

NPPES Registry Identity

NPI1003685249
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMY GASTRO WELLNESS. LLC
Location Address22110 ROSCOE BLVD, SUITE 201Canoga Park, CA 91304-3861
Mailing Address22110 Roscoe Blvd, Suite 201Canoga Park, CA 91304-3861 · (747) 204-4177 · Fax (818) 431-8283
Phone(747) 204-4177
Fax(818) 431-8283
Organization SubpartNo
Authorized OfficialNorma SimmonsManager · (805) 996-0456
Enumeration DateDecember 28, 2023
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1003685249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
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.
22110 ROSCOE BLVD, Canoga Park, CA 91304
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY WILLARD
Case Manager/Care Coordinator
22110 ROSCOE BLVD, SUITE 204
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
VALLEY FOOT HEALTH CTR INC
Podiatrist
22110 ROSCOE BLVD, #201
CANOGA PARK, CA 91304
Los Angeles County (818) 716-6964
DR. EDGAR LACANLALE MASANGKAY D.C.
Chiropractor
22110 ROSCOE BLVD, #103
WEST HILLS, CA 91304
Los Angeles County (818) 716-9924
MS. SUSAN E BURGER F.N.P
Nurse Practitioner (Women's Health)
22110 ROSCOE BLVD, SUITE 104
WEST HILLS, CA 91304
Los Angeles County (818) 704-6696
VALLEY WOMEN'S CENTER
Case Management
22110 ROSCOE BLVD, SUITE 204
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
SUSAN ARMOUR
Counselor (Addiction (Substance Use Disorder))
22110 ROSCOE BLVD
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
LEADING MEDICAL GROUP INC.
Physical Medicine & Rehabilitation (Pain Medicine)
22110 ROSCOE BLVD, SUITE 304
WEST HILLS, CA 91304
Los Angeles County (818) 703-1511
MARYAM MORTEZAIEFARD D.O.
Internal Medicine
22110 ROSCOE BLVD, SUITE 100
WEST HILLS, CA 91304
Los Angeles County (818) 888-8042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Gastro Wellness. LLC's NPI number?

The NPI number for My Gastro Wellness. LLC is 1003685249. It was assigned to this organization in the NPPES registry on December 28, 2023.

Where is My Gastro Wellness. LLC located?

My Gastro Wellness. LLC is located at 22110 Roscoe Blvd Suite 201, Canoga Park, CA 91304. The listed phone number is (747) 204-4177.

What is My Gastro Wellness. LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for My Gastro Wellness. LLC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.