DENISON, GOODMAN, EPSTEN & HAYNES MEDICAL CORPORATION
NPI 1578621199
Internal Medicine - Gastroenterology in San Diego, CA

Active since December 05, 2006CLIA 05D2151143 · Certificate of Compliance
4060 4TH AVE, SUITE 240, SAN DIEGO, CA 92103(619) 291-6064(619) 291-3078 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Denison, Goodman, Epsten & Haynes Medical Corporation NPPES

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

DENISON, GOODMAN, EPSTEN & HAYNES MEDICAL CORPORATION (NPI 1578621199) is a healthcare organization registered as a gastroenterology in San Diego, California and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 23, 2027 and lists Robert M Epsten, President, as its authorized official.

NPPES Registry Identity

NPI1578621199
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES
Location Address4060 4TH AVE, SUITE 240San Diego, CA 92103-2116
Mailing Address4060 4th Ave, Suite 240San Diego, CA 92103-2116 · (619) 291-6064 · Fax (619) 291-3078
Fax(619) 291-3078
Organization SubpartNo
Authorized OfficialRobert M EpstenPresident · (619) 291-6064
Enumeration DateDecember 5, 2006
Last NPPES UpdateMay 4, 2015
✔ NPI 1578621199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · G46179
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.
4060 4TH AVE, San Diego, CA 92103

Other Names 1

Doing Business AsDenison, Goodman, Epsten & Haynes Medical Corporation

Other Identifiers 9

Medicare PINA116352CA
Medicare UPINI08640CA
Medicare ID-Type UnspecifiedW3533CA
Medicare NSC1699917096CA
Medicare UPINI14215CA
Medicare PINA111638CA
Medicare UPINA92628CA
Medicare UPINE23408CA
Medicare PIN21263CA

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)

Denison, Goodman, Epsten & Haynes Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Denison, Goodman, Epsten & Haynes Medical Corporation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Gastroenterology9
Internal Medicine1
Pathology1

Clinicians, nearest first (11)

Gastroenterology
NPI 1013976612
4060 4TH AVE #240
San Diego, CA 92103
(619) 291-6064
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1720350465
4060 4TH AVE STE 240
San Diego, CA 92103
(619) 291-6064
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1699917096
4060 FOURTH AVENUE SUITE 240
San Diego, CA 92103
(619) 291-6064
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1558715110
4060 FOURTH AVENUE, SUITE 240
San Diego, CA 92103
(619) 291-6064
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1467642215
4060 FOURTH AVE STE 240
San Diego, CA 92103
(619) 291-6064
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1639523228
4060 4TH AVE STE 240
San Diego, CA 92103
(619) 291-6064
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1912494402
34800 BOB WILSON DR
San Diego, CA 92134
(619) 532-6400
✔ PECOS1.9 mi
Gastroenterology
NPI 1649324625
34800 BOB WILSON DR
San Diego, CA 92134
(619) 279-3961
✔ PECOS✔ Accepts Medicare1.9 mi
Pathology
NPI 1497927784
17451 BASTANCHURY RD 204-30
Yorba Linda, CA 92886
(714) 577-0413
✔ PECOS✔ Accepts Medicare88 mi
Gastroenterology
NPI 1396893699
1017 S 2ND AVE STE 3
Walla Walla, WA 99362
(509) 897-8200
✔ PECOS✔ Accepts Medicare920 mi
Gastroenterology
NPI 1720114093
3 RIVERSIDE CIR
Roanoke, VA 24016
(540) 224-5170
✔ PECOS✔ Accepts Medicare2,126 mi

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 05D2151143

San Diego Gastroenterology Medical Associates · San Diego, CA
Active · expires Jun 23, 2027
CLIA Number05D2151143
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorDr. Shehla Arain
Laboratory Phone(619) 291-6064
Laboratory LocationSan Diego Gastroenterology Medical Associates4060 4th Ave, Ste 240, San Diego, CA 92103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 San Diego Gastroenterology Medical Associates's NPI number?

The NPI number for San Diego Gastroenterology Medical Associates is 1578621199. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Denison, Goodman, Epsten & Haynes Medical Corporation.

Where is San Diego Gastroenterology Medical Associates located?

San Diego Gastroenterology Medical Associates is located at 4060 4th Ave Suite 240, San Diego, CA 92103. The listed phone number is (619) 291-6064.

What is San Diego Gastroenterology Medical Associates's specialty?

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

Is San Diego Gastroenterology Medical Associates enrolled in Medicare?

Yes. San Diego Gastroenterology Medical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Diego Gastroenterology Medical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to San Diego Gastroenterology Medical Associates. 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 Gastroenterology (9), Internal Medicine (1) and Pathology (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does San Diego Gastroenterology Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2151143) is associated with this NPI, valid through June 23, 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 San Diego Gastroenterology Medical Associates was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.