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

NPI Status: Active since March 08, 2007

Contact Information

880 S ATLANTIC BLVD
SUITE G 10
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 872-6261
Fax: (626) 872-1948

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D0642897
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-19-2027

About GASTROENTEROLOGY DIAGNOSTIC CENTER

This page provides the complete NPI Profile along with additional information for Gastroenterology Diagnostic Center, a provider established in Monterey Park, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1013048461 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Gastroenterology Diagnostic Center. The authorized official of this NPI record is Fernando Ibarra Md (Authorized Official)

NPI
1013048461
Provider Legal Name
GASTROENTEROLOGY DIAGNOSTIC CENTER MEDICAL GROUP, A PROFESSIONAL
Other Organization Name
GASTROENTEROLOGY DIAGNOSTIC CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
880 S ATLANTIC BLVD SUITE G 10 MONTEREY PARK, CA 91754
Location Phone
(626) 872-6261
Location Fax
(626) 872-1948
Mailing Address
880 S ATLANTIC BLVD #G 10 MONTEREY PARK, CA 91754
Mailing Phone
(626) 872-6261
Mailing Fax
(626) 872-1948
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2007
Last Update Date
01-15-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FERNANDO IBARRA MD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(626) 872-6261

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 176 times for 169 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 68 times for 68 patients

Colorectal cancer screening; colonoscopy on individual at high risk

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.

This service was performed 30 times for 30 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 40 times for 40 patients

Diagnostic exam of large bowel using a flexible endoscope

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.

This service was performed 62 times for 58 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 38 times for 37 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0642897
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 20, 2025
Certificate Expiration Date
February 19, 2027
Laboratory Director
FERNANDO IBARRA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gastroenterology Diagnostic Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GASTROENTEROLOGY DIAGNOSTIC CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013048461
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230416412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 4 + 1 + 6 + 4 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013048461 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. LAZARO GUROVICH WISNIA M.D.

Specialist

880 S ATLANTIC BLVD
#302
MONTEREY PARK, CA
ZIP 91754

(626) 576-8040

DR. RONALD EDWARD BISHOP M.D.

Anesthesiology

(Pain Medicine)

880 S ATLANTIC BLVD
SUITE 205
MONTEREY PARK, CA
ZIP 91754

(626) 289-0178

TOMAS SAUCEDO M.D.

Specialist

880 S ATLANTIC BLVD
SUITE 205
MONTEREY PARK, CA
ZIP 91754

(626) 289-0178

MR. DANA PRIMO P.A.C.

Physician Assistant

(Surgical)

880 S ATLANTIC BLVD
SUITE 205
MONTEREY PARK, CA
ZIP 91754

(626) 289-0178

MR. THOMAS MU-REN TSENG DO

Internal Medicine

880 S ATLANTIC BLVD
SUITE 208
MONTEREY PARK, CA
ZIP 91754

(626) 289-9478

DR. RENU TAN D.D.S.

Dentist

(General Practice)

880 S ATLANTIC BLVD
SUITE 307
MONTEREY PARK, CA
ZIP 91754

(626) 300-8778

DR. VINOD KUMAR GHAI M.D.

Internal Medicine

(Pulmonary Disease)

880 S ATLANTIC BLVD
SUITE#101
MONTEREY PARK, CA
ZIP 91754

(626) 281-6969

LOS ANGELES CENTER FOR ORTHOPEDICS

Specialist

880 S ATLANTIC BLVD
SUITE 205
MONTEREY PARK, CA
ZIP 91754

(626) 588-1993

HAREL A HO M.D.

Family Medicine

880 S ATLANTIC BLVD
#302
MONTEREY PARK, CA
ZIP 91754

(626) 281-8835

TARA MARTINEZ DPT

Physical Therapist

880 S ATLANTIC BLVD
SUITE 203
MONTEREY PARK, CA
ZIP 91754

(626) 282-3577

LUK BHAVA MEDICAL CORPORATION

Clinic/Center

(Primary Care)

880 S ATLANTIC BLVD
SUITE 307
MONTEREY PARK, CA
ZIP 91754

(626) 300-8424

EASTSIDE ORTHOPEDIC MEDICAL ASSOCIATES

Specialist

880 S ATLANTIC BLVD
205
MONTEREY PARK, CA
ZIP 91754

(626) 289-0178

LUKCHAI BHAVABHUTANON D.O.

Internal Medicine

880 S ATLANTIC BLVD
SUITE 307
MONTEREY PARK, CA
ZIP 91754

(626) 300-8424

MRS. SONIA CARMEN SMITH NP

Nurse Practitioner

880 S ATLANTIC BLVD
MONTEREY PARK, CA
ZIP 91754

(626) 284-9278

ASSOCIATED HISPANIC PHYSICIANS MEDICAL GROUP INC

Clinic/Center

880 S ATLANTIC BLVD
SUITE 302
MONTEREY PARK, CA
ZIP 91754

(626) 457-5579

DR. RACHEL MA D.D.S.

Dentist

880 S ATLANTIC BLVD
SUITE 307
MONTEREY PARK, CA
ZIP 91754

(626) 300-8778

HEALTH CARE PARTNERS, INC.

Non-Pharmacy Dispensing Site

880 S ATLANTIC BLVD
SUITE101
MONTEREY PARK, CA
ZIP 91754

(626) 281-6969

ASSOCIATED HISPANIC PHYSICIANS OF SOUTHERN CALIFORNIA INC

Health Maintenance Organization

880 S ATLANTIC BLVD
SUITE 201
MONTEREY PARK, CA
ZIP 91754

(626) 457-5579

DAE YONG LEE M.D.

Anesthesiology

880 S ATLANTIC BLVD
STE G 10
MONTEREY PARK, CA
ZIP 91754

(626) 872-6261

ASSOCIATED SPORTS THERAPY MEDICAL CENTER

Specialist

880 S ATLANTIC BLVD
SUITE 205
MONTEREY PARK, CA
ZIP 91754

(626) 828-3577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013048461, enumerated as an "organization" on March 08, 2007.

The provider is located at 880 S ATLANTIC BLVD SUITE G 10 MONTEREY PARK, CA 91754 and the phone number is (626) 872-6261.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.