LA JOLLA GASTROENTEROLOGY MEDICAL GROUP, INC
NPI 1457397465
Specialist in La Jolla, CA

Active since June 20, 2006
9850 GENESEE AVE STE 770, LA JOLLA, CA 92037(858) 453-5200(858) 453-5160 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About La Jolla Gastroenterology Medical Group, Inc NPPES

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

LA JOLLA GASTROENTEROLOGY MEDICAL GROUP, INC (NPI 1457397465) is a healthcare organization registered as a specialist in La Jolla, California and active in the NPI registry since June 2006. The organization lists Edward Cruz Paredez, President, as its authorized official.

NPPES Registry Identity

NPI1457397465
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLA JOLLA GASTROENTEROLOGY MEDICAL GROUP, INC
Location Address9850 GENESEE AVE STE 770La Jolla, CA 92037-1232
Mailing Address9850 Genesee Ave Ste 770La Jolla, CA 92037-1232 · (858) 453-5200 · Fax (858) 453-5160
Fax(858) 453-5160
Organization SubpartNo
Authorized OfficialEdward Cruz ParedezPresident · (858) 453-5200
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1457397465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9850 GENESEE AVE STE 770, La Jolla, CA 92037

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Jolla Gastroenterology Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to La Jolla Gastroenterology Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1215949201
9850 GENESEE AVE #820
La Jolla, CA 92037
(858) 453-5200
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1518951714
9850 GENESEE AVE SUITE 820
La Jolla, CA 92037
(858) 453-5200
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1063012060
8778 CUYAMACA ST
Santee, CA 92071
(619) 449-5555
✔ PECOS14 mi
Nurse Practitioner
NPI 1477717130
2200 NE NEFF RD STE 302
Bend, OR 97701
(541) 706-4220
✔ PECOS✔ Accepts Medicare802 mi
Nurse Practitioner
NPI 1841345360
12850 TOEPPERWEIN RD
Live Oak, TX 78233
(210) 614-1234
✔ PECOS✔ Accepts Medicare1,139 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 La Jolla Gastroenterology Medical Group, Inc's NPI number?

The NPI number for La Jolla Gastroenterology Medical Group, Inc is 1457397465. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is La Jolla Gastroenterology Medical Group, Inc located?

La Jolla Gastroenterology Medical Group, Inc is located at 9850 Genesee Ave Ste 770, La Jolla, CA 92037. The listed phone number is (858) 453-5200.

What is La Jolla Gastroenterology Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is La Jolla Gastroenterology Medical Group, Inc enrolled in Medicare?

Yes. La Jolla Gastroenterology Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Jolla Gastroenterology Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to La Jolla Gastroenterology Medical Group, 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 (3) and Internal Medicine (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Jolla Gastroenterology Medical Group, Inc was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.