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GASTROENTEROLOGY DIAGNOSTIC CENTER
NPI 1013048461
Clinic/Center - Ambulatory Surgical in Monterey Park, CA

Active since March 08, 2007CLIA 05D0642897 · Waiver
880 S ATLANTIC BLVD, SUITE G 10, MONTEREY PARK, CA 91754(626) 872-6261(626) 872-1948 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2020, Dec 20, 2017, Nov 18, 2016 (3 updates tracked since 2016).

About Gastroenterology Diagnostic Center NPPES

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

GASTROENTEROLOGY DIAGNOSTIC CENTER (NPI 1013048461) is a healthcare organization registered as an ambulatory surgical in Monterey Park, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Fernando Ibarra, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013048461
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL
Location Address880 S ATLANTIC BLVD, SUITE G 10Monterey Park, CA 91754-4700
Mailing Address880 S Atlantic Blvd, #g 10Monterey Park, CA 91754-4700 · (626) 872-6261 · Fax (626) 872-1948
Phone(626) 872-6261
Fax(626) 872-1948
Organization SubpartNo
Authorized OfficialFernando IbarraAuthorized Official · (626) 872-6261
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 15, 20203 updates tracked since enumeration
✔ NPI 1013048461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
880 S ATLANTIC BLVD, Monterey Park, CA 91754
Open in Google Maps ↗

Other Names 1

Doing Business AsGastroenterology Diagnostic Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0642897

Gastroenterology Diagnostic Center Medical Center · Monterey Park, CA
Active · expires Feb 19, 2027
CLIA Number05D0642897
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorFernando Ibarra
Laboratory Phone(626) 872-6261
Laboratory LocationGastroenterology Diagnostic Center Medical Center880 S Atlantic Blvd, Ste G10, Monterey Park, CA 91754
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
173 services170 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
96 services95 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
71 services67 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services38 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
24 services24 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.
21 services21 patients

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.

TOMAS SAUCEDO M.D.
Specialist
880 S ATLANTIC BLVD, SUITE 205
MONTEREY PARK, CA 91754
Los Angeles County (626) 289-0178
DR. VINOD KUMAR GHAI M.D.
Internal Medicine (Pulmonary Disease)
880 S ATLANTIC BLVD, SUITE#101
MONTEREY PARK, CA 91754
Los Angeles County (626) 281-6969
DR. RACHEL MA D.D.S.
Dentist
880 S ATLANTIC BLVD, SUITE 307
MONTEREY PARK, CA 91754
Los Angeles County (626) 300-8778
ASSOCIATED SPORTS THERAPY MEDICAL CENTER
Specialist
880 S ATLANTIC BLVD, SUITE 205
MONTEREY PARK, CA 91754
Los Angeles County (626) 828-3577
LOS ANGELES CENTER FOR ORTHOPEDICS
Specialist
880 S ATLANTIC BLVD, SUITE 205
MONTEREY PARK, CA 91754
Los Angeles County (626) 588-1993
EASTSIDE ORTHOPEDIC MEDICAL ASSOCIATES
Specialist
880 S ATLANTIC BLVD, 205
MONTEREY PARK, CA 91754
Los Angeles County (626) 289-0178
LAZARO WISNIA, M.D., INC
Urology
880 S ATLANTIC BLVD, SUITE 302
MONTEREY PARK, CA 91754
Los Angeles County (626) 576-8040
DAE YONG LEE M.D.
Anesthesiology
880 S ATLANTIC BLVD, STE G 10
MONTEREY PARK, CA 91754
Los Angeles County (626) 872-6261

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 Gastroenterology Diagnostic Center Medical Group, A Professional's NPI number?

The NPI number for Gastroenterology Diagnostic Center Medical Group, A Professional is 1013048461. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Gastroenterology Diagnostic Center.

Where is Gastroenterology Diagnostic Center Medical Group, A Professional located?

Gastroenterology Diagnostic Center Medical Group, A Professional is located at 880 S Atlantic Blvd Suite G 10, Monterey Park, CA 91754. The listed phone number is (626) 872-6261.

What is Gastroenterology Diagnostic Center Medical Group, A Professional's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Gastroenterology Diagnostic Center Medical Group, A Professional hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0642897) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gastroenterology Diagnostic Center Medical Group, A Professional was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.