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PASADENA GASTROENTEROLOGY MEDICAL GROUP INC
NPI 1487855086
Internal Medicine - Gastroenterology in Pasadena, CA

Active since May 30, 2007CLIA 05D0556222 · Waiver
2750 E WASHINGTON BLVD, STE 330, PASADENA, CA 91107(626) 797-9883 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pasadena Gastroenterology Medical Group Inc NPPES

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

PASADENA GASTROENTEROLOGY MEDICAL GROUP INC (NPI 1487855086) is a healthcare organization registered as a gastroenterology in Pasadena, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bea Thomas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487855086
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePASADENA GASTROENTEROLOGY MEDICAL GROUP INC
Location Address2750 E WASHINGTON BLVD, STE 330Pasadena, CA 91107-1448
Mailing Address2750 E. Washington Blvd, Ste 330Pasadena, CA 91107 · (626) 797-9883
Phone(626) 797-9883
Organization SubpartNo
Authorized OfficialBea ThomasOffice Manager · (626) 797-9883
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487855086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2750 E WASHINGTON BLVD, Pasadena, CA 91107
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Other Identifiers 1

MedicaidGROO29750CA

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 05D0556222

Pasadena Gastroentrlgy Med Grp · Pasadena, CA
Active · expires Aug 31, 2026
CLIA Number05D0556222
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorIsaac A. Bartley
Laboratory Phone(626) 793-4409
Laboratory LocationPasadena Gastroentrlgy Med Grp2750 East Washington Boulevard #330, Pasadena, CA 91107
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AURELIE ANNE MARIE ZEPHIR
Marriage & Family Therapist
2750 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 296-8900
D'VEAL FAMILY & YOUTH SERVICES
Community/Behavioral Health
2750 E WASHINGTON BLVD, SUITE 230, 240, 250, 260
PASADENA, CA 91107
Los Angeles County (626) 296-8900
JASON K BOUTROS M D INC
Internal Medicine
2750 E WASHINGTON BLVD, SUITE 260
PASADENA, CA 91107
Los Angeles County (626) 798-8923
CLIFTON A MAYBERRY MD
Specialist
2750 E WASHINGTON BLVD, STE 330
PASADENA, CA 91107
Los Angeles County (626) 797-9883
ALEXIS CHRISTINE HERNANDEZ
Social Worker (Clinical)
2750 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 296-8900
MRS. EVONNE R MEZA IMF
Marriage & Family Therapist
2750 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 296-8900
ALVARO REYNALDO COTA
Student in an Organized Health Care Education/Training Program
2750 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 296-8900
JOCELYN CANALES
Student in an Organized Health Care Education/Training Program
2750 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 296-8900

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 Pasadena Gastroenterology Medical Group Inc's NPI number?

The NPI number for Pasadena Gastroenterology Medical Group Inc is 1487855086. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Pasadena Gastroenterology Medical Group Inc located?

Pasadena Gastroenterology Medical Group Inc is located at 2750 E Washington Blvd Ste 330, Pasadena, CA 91107. The listed phone number is (626) 797-9883.

What is Pasadena Gastroenterology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Pasadena Gastroenterology Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0556222) is associated with this NPI, valid through August 31, 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 Pasadena Gastroenterology Medical Group Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.