MY GASTRO WELLNESS. LLC
NPI 1003685249
Internal Medicine - Gastroenterology in Canoga Park, CA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
My Gastro Wellness. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to My Gastro Wellness. LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is My Gastro Wellness. LLC enrolled in Medicare?
Yes. My Gastro Wellness. LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through My Gastro Wellness. LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to My Gastro Wellness. LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 12 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.
# My Gastro Wellness. Llc · NPI 1003685249
Gastroenterology organization in Canoga Park, California. Organization record, active in the CMS NPPES registry since December 28, 2023.
## Identity
- **NPI:** 1003685249 (Entity type: Organization)
- **Enumerated:** December 28, 2023
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Norma Simmons, MANAGER
## Practice location
- **Address:** 22110 ROSCOE BLVD, SUITE 201, Canoga Park, CA 91304-3861
- **Phone:** (747) 204-4177 · **Fax:** (818) 431-8283
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Gastroenterology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003685249) · Data from the CMS NPPES public registry.