PACIFIC COAST GASTROENTEROLOGY, INC
NPI 1356361166
Internal Medicine - Gastroenterology in Irvine, CA
About Pacific Coast Gastroenterology, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC COAST GASTROENTEROLOGY, INC (NPI 1356361166) is a healthcare organization registered as a gastroenterology in Irvine, California and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 11, 2027 and lists David Jacob Kaufman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Coast Gastroenterology, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pacific Coast Gastroenterology, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 05D2174772
Pacific Coast Gastroenterology Inc · Irvine, 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 Pacific Coast Gastroenterology, Inc's NPI number?
The NPI number for Pacific Coast Gastroenterology, Inc is 1356361166. It was assigned to this organization in the NPPES registry on July 21, 2006.
Where is Pacific Coast Gastroenterology, Inc located?
Pacific Coast Gastroenterology, Inc is located at 18 Endeavor Suite 204, Irvine, CA 92618. The listed phone number is (949) 727-2035.
What is Pacific Coast Gastroenterology, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Pacific Coast Gastroenterology, Inc enrolled in Medicare?
Yes. Pacific Coast Gastroenterology, Inc is registered in the Medicare PECOS enrollment system.
When is Pacific Coast Gastroenterology, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pacific Coast Gastroenterology, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pacific Coast Gastroenterology, Inc, in Gastroenterology and Pathology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pacific Coast Gastroenterology, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D2174772) is associated with this NPI, valid through April 11, 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 Pacific Coast Gastroenterology, Inc was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Pacific Coast Gastroenterology, Inc · NPI 1356361166
Gastroenterology organization in Irvine, California. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1356361166 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** David Kaufman, PRESIDENT
## Practice location
- **Address:** 18 ENDEAVOR, SUITE 204, Irvine, CA 92618-3164
- **Phone:** (949) 727-2035 · **Fax:** (949) 727-2141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (1), Pathology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2009
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356361166) · Data from the CMS NPPES public registry.