SOUTHERN CALIFORNIA LIVER AND GI CENTER
NPI 1346790870
Nurse Practitioner - Family in Pacific Grove, CA

Active since October 07, 2016CLIA 05D1089853 · Waiver
468 GIBSON AVE, PACIFIC GROVE, CA 93950(619) 840-2720 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern California Liver And Gi Center NPPES

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

SOUTHERN CALIFORNIA LIVER AND GI CENTER (NPI 1346790870) is a healthcare organization registered as a family in Pacific Grove, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Tarek Hassanein, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1346790870
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTHERN CALIFORNIA LIVER AND GI CENTER
Location Address468 GIBSON AVEPacific Grove, CA 93950-4416
Mailing Address675 Camino De Los MaresSan Clemente, CA 92673-2835 · (619) 522-0399
Organization SubpartNo
Authorized OfficialTarek HassaneinMedical Director · (619) 522-0399
Enumeration DateOctober 7, 2016
NPI 1346790870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 11999
468 GIBSON AVE, Pacific Grove, CA 93950

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D1089853

Southern California Liver Centers · San Clemente, CA
Active · expires Sep 28, 2026
CLIA Number05D1089853
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorTarek I. Hassanein MD
Laboratory Phone(619) 522-0330
Laboratory LocationSouthern California Liver Centers675 Camino De Los Mares Ste 301, San Clemente, CA 92673
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Southern California Liver And Gi Center's NPI number?

The NPI number for Southern California Liver And Gi Center is 1346790870. It was assigned to this organization in the NPPES registry on October 7, 2016.

Where is Southern California Liver And Gi Center located?

Southern California Liver And Gi Center is located at 468 Gibson Ave, Pacific Grove, CA 93950. The listed phone number is (619) 840-2720.

What is Southern California Liver And Gi Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Southern California Liver And Gi Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1089853) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern California Liver And Gi Center was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.