DIGESTIVE DISEASE ASSOCIATES, INC
NPI 1073699971
Specialist in San Diego, CA
About Digestive Disease Associates, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIGESTIVE DISEASE ASSOCIATES, INC (NPI 1073699971) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 13, 2028 and lists Taddesee Teferi Desta, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Digestive Disease Associates, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Digestive Disease Associates, Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Compliance 05D1018160
Digestive Disease Associates, Inc · San Diego, CAFrequently 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 Digestive Disease Associates, Inc's NPI number?
The NPI number for Digestive Disease Associates, Inc is 1073699971. It was assigned to this organization in the NPPES registry on October 31, 2006.
Where is Digestive Disease Associates, Inc located?
Digestive Disease Associates, Inc is located at 292 Euclid Ave Ste 115, San Diego, CA 92114. The listed phone number is (619) 266-3332.
What is Digestive Disease Associates, Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Digestive Disease Associates, Inc enrolled in Medicare?
Yes. Digestive Disease Associates, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Digestive Disease Associates, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Digestive Disease Associates, Inc. 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. The largest specialties are Nurse Practitioner (5), Gastroenterology (4) and Internal Medicine (3). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Digestive Disease Associates, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D1018160) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Digestive Disease Associates, Inc was last updated on May 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Digestive Disease Associates, Inc · NPI 1073699971
Specialist organization in San Diego, California. Organization record, active in the CMS NPPES registry since October 31, 2006.
## Identity
- **NPI:** 1073699971 (Entity type: Organization)
- **Enumerated:** October 31, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Taddesee Desta, OWNER
## Practice location
- **Address:** 292 EUCLID AVE, STE 115, San Diego, CA 92114
- **Phone:** (619) 266-3332 · **Fax:** (619) 266-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Gastroenterology (4), Internal Medicine (3); 7 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2011
- **Other identifiers:** Medicare UPIN F27762 (CA); Medicaid 00A491640 (CA); Medicare ID-Type Unspecified W16810 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073699971) · Data from the CMS NPPES public registry.